PHYLLIS A PETAK
Nursing at Dogie Ter, Hernando, FL

License number
Florida 128711
Issued Date
May 22, 2006
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
4479 N Dogie Ter, Hernando, FL 34442
Phone
(352) 726-7485
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Phyllis Petak, age 70
4479 N Dogie Ter, Hernando, FL 34442
(352) 341-8492
Phyllis A Petak, age 70
4479 Dogie Ter, Hernando, FL 34442
(352) 726-5592

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