KENNETH A FOUNTAIN
Medical Practice in Eagle Lake, FL

License number
Florida 300779
Issued Date
Apr 11, 2005
Effective Date
Aug 23, 2007
Expiration Date
Dec 1, 2006
Category
Health Care
Type
Emergency Medical Technician
Address
Address
PO Box 1427, Eagle Lake, FL 33839
Phone
(863) 224-3472
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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