KATHLEEN I RUSSOM
Dental Hygienist at Long Bay Dr, Palm City, FL

License number
Florida 7132
Issued Date
Jul 24, 1984
Effective Date
Mar 3, 2014
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental Hygienist
Address
Address 2
4634 SW Long Bay Dr, Palm City, FL 34990
139 SW Port St Lucie Blvd, Fort Pierce, FL 34984
Phone
(772) 223-8799
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Kathleen I Russom
9711 Hammocks Blvd, Miami, FL 33196

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