KEITH M HAASE
Nursing at Tustenuggee Ave, Fort White, FL

License number
Florida 121984
Issued Date
Mar 6, 2006
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
11220 SW Tustenuggee Ave, Fort White, FL 32038
560 SW Mcfarlane Ave, Lake City, FL 32025
Phone
(386) 752-7715
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Keith Haase, age 45
11220 SW Tustenuggee Ave, Fort White, FL 32038
Keith Haase
203 Trinity Pl, Lake City, FL 32055
(386) 719-6773
Keith Haase
3874 Archer St, Lake City, FL 32055
(386) 719-6773
Keith Haase
3874 NW Archer St, Lake City, FL 32055
(386) 719-6773

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