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Licenses
Nursing
Colorado
704393
Jacklyn Lewis
Nursing at Grass Vly Way, Antioch, CA
License number
Colorado 704393
Issued Date
Nov 21, 2003
Renew Date
Feb 1, 2008
Expiration Date
Jan 31, 2010
Type
Certified Nurse Aide
Address
Address
5139 Grass Valley Way, Antioch, CA 94531
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