PHYLLIS R BLANCK
Nursing at 125 Ln, Summerfield, FL

License number
Florida 5187038
Issued Date
Apr 3, 2009
Effective Date
Aug 15, 2013
Expiration Date
Jul 31, 2011
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
9760 SE 125Th Ln, Summerfield, FL 34491
Phone
(352) 245-0502
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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