TRACIE S BLACK
Nursing at Vly Dr, Cleveland, GA

License number
Florida 2139292
Issued Date
Jun 18, 1990
Effective Date
May 14, 2010
Expiration Date
Apr 30, 2008
Category
Health Care
Type
Registered Nurse
Address
Address
165 Vly Dr, Cleveland, GA 30528
Phone
(706) 348-6681
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Tracie S Black, age 57
165 Valley Dr, Cleveland, GA 30528
(706) 348-6681
Tracie Black
Cleveland, GA
(706) 348-6681
Tracie Black
1008 Baldwin St, Lagrange, GA 30240
(706) 882-6926
(706) 884-3615

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