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Gretel
Gretel
Perez pacheco
Dental hygienist
Live Oak, United States
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Florida Health Care Practitioner Data Portal
Full name
Gretel Perez Pacheco
Job Title
Dental Hygienist
Location
Live Oak, FL, USA
LIC ID
31727
Current License Expiration Date
28/02/2026
Original Date
14/12/2023
Professional Rank Code
DH
Effective Date
14/12/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SUWANNEE
Practice Location Address Line 1
3827 River Road
Practice Location Address City
LIVE OAK
Practice Location Address State
FL
Practice Location Address Zipcode
32060
Mode Code
Administer Local Anesthesia
Prescribing Indicator
N
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