JEREMIAH B SHADE
Medical Practice at Chamorro St, Melbourne, FL

License number

Florida 528993

Issued Date

Dec 4, 2009

Effective Date

Oct 17, 2016

Expiration Date

Dec 1, 2018

Category

Health Care

Type

Emergency Medical Technician

Address

Address

1649 Chamorro St SE UNIT B, Melbourne, FL 32909

Phone

(321) 729-0474

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