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Licenses
Medical Practice
Florida
510696
MALCOLM D TYSON, JR
Medical Practice at Ranchwood Ln, Saint Augustine, FL
License number
Florida 510696
Issued Date
Aug 9, 2005
Effective Date
Jun 15, 2013
Expiration Date
Dec 1, 2012
Category
Health Care
Type
Emergency Medical Technician
Address
Address
2
8616 Ranchwood Ln, Saint Augustine, FL 32092
410 S State Road 19, Palatka, FL 32177
Phone
(904) 284-0075
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