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Jesus
Jesus
Carballosa
Emergency medical technician
Miramar, United States
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Florida Health Care Practitioner Data Portal
Full name
JESUS CARBALLOSA
Job Title
Emergency Medical Technician
Location
Miramar, FL, USA
LIC ID
99493
Current License Expiration Date
01/12/2024
Original Date
20/07/2010
Professional Rank Code
EMT
Effective Date
20/07/2010
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BROWARD
Practice Location Address Line 1
14801 SW 27 ST
Practice Location Address City
MIRAMAR
Practice Location Address State
FL
Practice Location Address Zipcode
33027
Prescribing Indicator
N
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