IDA A MALLORY
Nursing at Raiford Rd, Kingsley Lake, FL

License number
Florida 676902
Issued Date
Oct 26, 1973
Effective Date
May 28, 2003
Expiration Date
Apr 30, 2001
Category
Health Care
Type
Registered Nurse
Address
Address
924 Raiford Rd, Kingsley Lake, FL 32091
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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