SHELLEY C SOUTHALL
Medical Practice at Brady Cir, Lake City, FL

License number
Florida 22747
Issued Date
Aug 12, 1983
Effective Date
May 12, 1998
Expiration Date
Aug 31, 2018
Category
Health Care
Type
Clinical Laboratory Personnel
Address
Address
417 NW Brady Cir, Lake City, FL 32055
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Shelley Southall, age 67
417 NW Brady Cir, Lake City, FL 32055
Shelley C Southall, age 67
305 Brady Cir, Lake City, FL 32055
(386) 752-9581
Shelley C Southall, age 67
417 Brady Cir, Lake City, FL 32055
(386) 752-9581
(386) 754-1537

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