RYAN M WALLACE
Medical Practice at Mystic Castle Dr, Saint Augustine, FL

License number
Florida 511970
Issued Date
Oct 27, 2005
Effective Date
Jan 28, 2015
Expiration Date
Dec 1, 2018
Category
Health Care
Type
Emergency Medical Technician
Address
Address
308 Mystic Castle Dr, Saint Augustine, FL 32086
Phone
(904) 466-1045
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
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Phone
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9008 NW 6Th Ct, Plantation, FL 33324
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8532 Valencia Village Ln APT 1, Orlando, FL 32825
(407) 380-7356
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8532 Valencia Village Ln, Orlando, FL 32825
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PO Box 290303, Ft Lauderdale, FL 33329

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