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Gracie
Gracie
Marble
Clinical laboratory personnel
Yulee, United States
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Florida Health Care Practitioner Data Portal
Full name
GRACIE MARBLE
Job Title
Clinical Laboratory Personnel
Location
Yulee, FL, USA
LIC ID
57654
Current License Expiration Date
31/08/2024
Original Date
12/04/2022
Professional Rank Code
PHTC
Effective Date
12/04/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
NASSAU
Practice Location Address Line 1
83366 PURPLE MARTIN DR
Practice Location Address City
YULEE
Practice Location Address State
FL
Practice Location Address Zipcode
32097
Mode Code
Microbiology PH Technician
Prescribing Indicator
N
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