MARY J DATEMA
Medical Practice at Quail Crk Dr, Fairhope, AL

License number
Florida 36555
Issued Date
Jul 26, 2000
Effective Date
Oct 4, 2016
Expiration Date
Aug 31, 2016
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address 2
19816 Quail Creek Dr, Fairhope, AL 36532
4500 San Pablo Rd, Jacksonville, FL 32224
Phone
(251) 928-8903
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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