JACQUELINE A FABIAN
Nursing at Shadow Lk Blvd, Ormond Beach, FL

License number
Florida 159485
Issued Date
Nov 27, 2007
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
500 Shadow Lakes Blvd APT 137, Ormond Beach, FL 32174
Phone
(419) 618-9432
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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