KIMBERLY A FOWLER
Nursing at Etta Garrett Rd, Crestview, FL

License number
Florida 159428
Issued Date
Nov 26, 2007
Effective Date
Jan 15, 2016
Expiration Date
Dec 31, 2013
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
5162 Etta Garrett Rd, Crestview, FL 32531
Phone
(850) 758-9034
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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