STACY L WALLACE
Nursing at Marilyn Ave, Saint Augustine, FL

License number
Florida 118320
Issued Date
Feb 10, 2006
Effective Date
Jan 21, 2010
Expiration Date
Dec 31, 2007
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
16 Marilyn Ave, Saint Augustine, FL 32080
Phone
(190) 447-1728
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Stacy Wallace
5921 NW 24Th Ct, Margate, FL 33063
Stacy Wallace
4660 Pimlico Dr, Tallahassee, FL 32309
Stacy Wallace, age 54
917 Dog Kennel Rd, Sarasota, FL 34240
(941) 809-1794
Stacy Wallace, age 52
725 NW 15Th St, Gainesville, FL 32603
Stacy Wallace
1575 Talpeco Rd, Tallahassee, FL 32303
(850) 322-7276

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