SHANE D COUSINS
Nursing in Micanopy, FL

License number
Florida 138831
Issued Date
Oct 19, 2006
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
PO Box 803, Micanopy, FL 32667
Phone
(352) 466-0993
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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