MARY W STATEN
Nursing at Mandan Ave, Melbourne, FL

License number
Florida 2633812
Issued Date
Sep 14, 1992
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 1998
Category
Health Care
Type
Registered Nurse
Address
Address
652 Mandan Ave, Melbourne, FL 32935
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Mary Staten, age 74
5548 Cabot Dr N, Jacksonville, FL 32244
Mary W Staten, age 75
652 Mandan Ave, Melbourne, FL 32935
(321) 254-8785

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