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Herma
Herma
Forrest fuller
Certified nursing assistant
Palm Bay, United States
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Florida Health Care Practitioner Data Portal
Full name
HERMA FORREST FULLER
Job Title
Certified Nursing Assistant
Location
Palm Bay, FL, USA
LIC ID
711354
Current License Expiration Date
31/05/2025
Original Date
22/08/2016
Professional Rank Code
CNA
Effective Date
22/08/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BREVARD
Practice Location Address Line 1
1602 Charles Blvd. NE
Practice Location Address City
PALM BAY
Practice Location Address State
FL
Practice Location Address Zipcode
32907
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