PHILLIP L GRANTLAND
Nursing at Condor Dr, Cantonment, FL

License number
Florida 5179464
Issued Date
Sep 24, 2007
Effective Date
Aug 19, 2011
Expiration Date
Jul 31, 2009
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
1747 Condor Dr, Cantonment, FL 32533
4501 E Johnson Ave APT 403, Pensacola, FL 32514
Phone
(850) 529-3733
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Phillip L Grantland, age 61
1747 Condor Dr, Cantonment, FL 32533
(850) 937-6806

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