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Fallon
Fallon
Kelley
Registration for resident - hse ...
Orlando, United States
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Florida Health Care Practitioner Data Portal
Full name
FALLON KELLEY
Job Title
Registration for Resident/HSE Physician
Location
Orlando, FL, USA
LIC ID
37128
Current License Expiration Date
30/06/2024
Original Date
13/07/2020
Professional Rank Code
TRN
Effective Date
13/07/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
ORANGE
Practice Location Address Line 1
52 Underwood St
Practice Location Address Line 2
MP 31
Practice Location Address City
ORLANDO
Practice Location Address State
FL
Practice Location Address Zipcode
32806
Prescribing Indicator
N
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