TARA R TASSE
Nursing at Sandy Rdg Crk, Mary Esther, FL

License number
Florida 5164779
Issued Date
Oct 22, 2004
Effective Date
Aug 26, 2013
Expiration Date
Jul 31, 2017
Category
Health Care
Type
Licensed Practical Nurse
Address
Address 2
400 Sandy Ridge Cir, Mary Esther, FL 32569
1001 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone
(850) 225-6247
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Tara R Tasse, age 50
1210 Texas Pkwy, Crestview, FL 32536

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