PATTY G CLACK
Nursing at Bear Crk Rd, Crestview, FL

License number
Florida 3219882
Issued Date
Oct 27, 1997
Effective Date
Feb 11, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
3701 Bear Creek Rd, Crestview, FL 32539
Phone
(850) 974-2515
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Patty Clack, age 63
8 Holly Rd, Crestview, FL 32539
(850) 682-9587
Patty G Clack, age 63
8 Holly Rd, Crestview, FL 32539
(850) 682-9587

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