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Detra
Detra
Allen
Licensed practical nurse
Summerfield, United States
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Florida Health Care Practitioner Data Portal
Full name
Detra Allen
Job Title
Licensed Practical Nurse
Location
Summerfield, FL, USA
LIC ID
213077
Current License Expiration Date
31/07/2025
Original Date
07/06/2021
Professional Rank Code
PN
Effective Date
07/06/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
MARION
Practice Location Address Line 1
15065 SE 93rd Ave
Practice Location Address City
SUMMERFIELD
Practice Location Address State
FL
Practice Location Address Zipcode
34491
Mode Code
Single-state License
Prescribing Indicator
N
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