KELLY M DOUGHERTY
Nursing at Lbj Sr Dr, Fort Walton Beach, FL

License number
Florida 128197
Issued Date
May 17, 2006
Effective Date
Jan 23, 2012
Expiration Date
Dec 31, 2009
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
1 L B J Sr Dr, Fort Walton Beach, FL 32547
1716 27Th St, Niceville, FL 32578
Phone
(850) 333-1556
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
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4763 58Th Way N, Kenneth City, FL 33709
(215) 463-5596
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8415 Orient Way NE, St Petersburg, FL 33702
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601 N Peach St, Bunnell, FL 32110
(386) 437-2684
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5608 Balfrey Dr, West Palm Bch, FL 33413
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639 Winchester St, Daytona Beach, FL 32114

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