STACEY L CLARK
Medical Practice at Giddings St, Melbourne, FL

License number
Florida 307967
Issued Date
May 22, 2003
Effective Date
Jun 17, 2009
Expiration Date
Dec 1, 2008
Category
Health Care
Type
Emergency Medical Technician
Address
Address
1325 Giddings St SW, Melbourne, FL 32908
Phone
(321) 951-0744
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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