SAMUEL A BAGLEY JR
Nursing at Troupe Rd, San Mateo, FL

License number
Florida 121207
Issued Date
Apr 28, 2003
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address 2
129 Troupe Rd, San Mateo, FL 32187
495 Mangum Rd, Angier, NC 27501
Phone
(386) 328-9531
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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