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Jennie
Jennie
Black
Dental radiographer
Land O' Lakes, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
JENNIE BLACK
Job Title
Dental Radiographer
Location
Land O Lakes
LIC ID
22746
Original Date
04/04/2008
Professional Rank Code
DR
Effective Date
04/04/2008
Board Action Indicator
N
License Status Description
CLEAR
Country Description
PASCO
Practice Location Address Line 1
21752 STATE RD 54
Practice Location Address City
LUTZ
Practice Location Address State
FL
Practice Location Address Zipcode
33549
Prescribing Indicator
N
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