STACEY L LARSON
Nursing at San Jose Blvd, Jacksonville, FL

License number

Florida 9168382

Issued Date

Jun 20, 2000

Effective Date

Jun 6, 2006

Expiration Date

Apr 30, 2004

Category

Health Care

Type

Registered Nurse

Address

Address

11247 San Jose Blvd APT 1223, Jacksonville, FL 32223

Phone

(904) 551-1994

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