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Gordon
Gordon
Maniere
Prosthetist
Tampa, United States
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Florida Health Care Practitioner Data Portal
Full name
GORDON MANIERE
Job Title
Prosthetist
Location
Tampa, FL, USA
LIC ID
262
Current License Expiration Date
30/11/2025
Original Date
07/12/2023
Professional Rank Code
PRO
Effective Date
07/12/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
HILLSBOROUGH
Practice Location Address Line 1
2614 W. HENRY AVE
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33614
Prescribing Indicator
N
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