JAMIE M MOORE
Nursing at Park Grn Ct, Tavares, FL

License number
Florida 167746
Issued Date
Jun 3, 2008
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
3633 Park Green Ct, Tavares, FL 32778
3619 Lake Center Dr, Mount Dora, FL 32757
Phone
(352) 391-4391
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
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414 Prado Pl, Lakeland, FL 33803
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4401 N Suncoast Blvd LOT 2, Crystal River, FL 34428
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