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Kahla
Kahla
Mangrum
Certified nursing assistant
Crestview, United States
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Profile Summary
Full name
Kahla Mangrum
Job Title
Certified Nursing Assistant
Company Name
CRESTVIEW REHABILITATION CENTER, LLC
Florida Health Care Practitioner Data Portal
Full name
KAHLA MANGRUM
Job Title
Certified Nursing Assistant
Location
Crestview, FL, USA
LIC ID
869250
Current License Expiration Date
31/05/2024
Original Date
25/04/2023
Professional Rank Code
CNA
Effective Date
25/04/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
OKALOOSA
Practice Location Address Line 1
504 Forrest Court
Practice Location Address City
CRESTVIEW
Practice Location Address State
FL
Practice Location Address Zipcode
32539
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