SUSAMMA S JACOB
Nursing at Hawkes Blf Ave, Hollywood, FL

License number
Florida 1093021
Issued Date
Oct 21, 1992
Effective Date
Jan 1, 1901
Expiration Date
Jul 31, 1997
Category
Health Care
Type
Licensed Practical Nurse
Address
Address
6335 Hawkes Bluff Ave, Hollywood, FL 33331
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Susamma Jacob, age 71
6335 Hawkes Bluff Ave, Davie, FL 33331
Susamma S Jacob, age 71
6335 Hawkes Bluff Ave, Fort Lauderdale, FL 33331
(954) 680-0415

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