JACK L BIRGE
Nursing at Old Bethel Rd, Crestview, FL

License number
Florida 842741
Issued Date
Sep 8, 1986
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 2019
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
5783 Old Bethel Rd, Crestview, FL 32536
Phone
(850) 902-3974
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Jack E Birge, age 70
32 Harrison St, Panacea, FL 32346
(912) 838-0151
(850) 984-5889
Jack E Birge, age 70
63 Sunrise Ln, Panacea, FL 32346
Jack Harry Birge, age 87
5700 Memorial Hwy #106, Tampa, FL 33615
(858) 592-1507
Jack Harry Birge, age 87
5870 90Th Ave N, Pinellas Park, FL 33782
(858) 592-1507
Jack Lamar Birge, age 81
833, Crestview, FL 32536
(850) 682-3650

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