TAKEDA L HAYNES
Nursing at Mallard Ave, Fort Walton Beach, FL

License number
Florida 5176631
Issued Date
Mar 13, 2007
Effective Date
Aug 25, 2015
Expiration Date
Jul 31, 2013
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
48 Mallard Ave, Fort Walton Beach, FL 32548
1300 N Palafox St, Pensacola, FL 32501
Phone
(850) 200-3015
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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