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Mable
Mable
Clark
Certified nursing assistant
Holly Hill, United States
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Profile Summary
Full name
Mable Clark
Job Title
Certified Nursing Assistant
Company Name
PLAN LIFE CARE LLC
Florida Health Care Practitioner Data Portal
Full name
MABLE CLARK
Job Title
Certified Nursing Assistant
Location
Holly Hill, FL, USA
LIC ID
786407
Current License Expiration Date
31/05/2025
Original Date
10/01/2020
Professional Rank Code
CNA
Effective Date
10/01/2020
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
VOLUSIA
Practice Location Address Line 1
1416 Walnut Street
Practice Location Address Line 2
Alabama Ave
Practice Location Address City
HOLLY HILL
Practice Location Address State
FL
Practice Location Address Zipcode
32117
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