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Celony-demetrius
Licensed practical nurse
Palm Bay, United States
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Florida Health Care Practitioner Data Portal
Full name
EMANEZ Celony-Demetrius
Job Title
Licensed Practical Nurse
Location
Palm Bay, FL, USA
LIC ID
109361
Current License Expiration Date
31/07/2025
Original Date
13/08/2004
Professional Rank Code
PN
Effective Date
29/11/2004
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Practice Location Address Line 1
suite #4055 1131 W New Haven Ave
Practice Location Address City
WEST MELBOURNE
Practice Location Address State
FL
Practice Location Address Zipcode
32904
Mode Code
Single-state License
Prescribing Indicator
N
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