KEITH S RUSSELL
Medical Practice at Marquette St, Valparaiso, FL

License number
Florida 532547
Issued Date
Sep 10, 2010
Effective Date
Jul 6, 2015
Expiration Date
Dec 1, 2014
Category
Health Care
Type
Emergency Medical Technician
Address
Address 2
437 Marquette St, Valparaiso, FL 32580
1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
Phone
(850) 374-2824
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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