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Danielle
Danielle
Wallace
Pediatrics
Registered nurse
Winter Park, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
DANIELLE WALLACE
Job Title
Registered Nurse
Location
Winter Park, FL, USA
LIC ID
325130
Current License Expiration Date
30/04/2025
Original Date
24/06/2005
Professional Rank Code
RN
Effective Date
24/06/2005
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
1414 KUHL AVE.
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32806
Mode Code
Single-state License
Prescribing Indicator
N
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