NICOLE J FANBERG
Nursing at Laguna Dr, Fernandina, FL

License number
Florida 9291196
Issued Date
Apr 28, 2009
Effective Date
Apr 28, 2009
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
869 Laguna Dr, Fernandina, FL 32034
Phone
(612) 802-2963
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Nicole Fanberg, age 45
86195 Courtney Isles Way, Yulee, FL 32097

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