HENLEY G LASTRAPES
Medical Practice at Lk Fern Dr, Jacksonville, FL

License number

Florida 511807

Issued Date

Oct 27, 2005

Effective Date

Jun 17, 2009

Expiration Date

Dec 1, 2008

Category

Health Care

Type

Emergency Medical Technician

Address

Address

12156 Lake Fern Dr, Jacksonville, FL 32258

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