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Ashtlyn
Ashtlyn
Clark
Dental hygienist
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
Ashtlyn Clark
Job Title
Dental Hygienist
Location
Jacksonville, FL, USA
LIC ID
25110
Current License Expiration Date
28/02/2024
Original Date
29/05/2019
Professional Rank Code
DH
Effective Date
29/05/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Practice Location Address Line 1
7000 Sawgrass Village Circle
Practice Location Address City
PONTE VEDRA
Practice Location Address State
FL
Practice Location Address Zipcode
32082
Mode Code
Administer Local Anesthesia
Prescribing Indicator
N
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