IKA B PRAWOKO
Medical Practice at Reuter Strasse Cir, Tampa, FL

License number

Florida 5074

Issued Date

Jul 12, 2001

Effective Date

Aug 23, 2002

Expiration Date

Jul 31, 2002

Category

Health Care

Type

Clinical Laboratory Trainee

Address

Address

14448 Reuter Strasse Cir, Tampa, FL 33613

Phone

(813) 632-9248

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