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Mariam
Mariam
Sidhom
Clinical laboratory personnel
Pace, United States
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Florida Health Care Practitioner Data Portal
Full name
mariam sidhom
Job Title
Clinical Laboratory Personnel
Location
Pace, FL, USA
LIC ID
48561
Current License Expiration Date
31/08/2024
Original Date
26/08/2016
Professional Rank Code
TN
Effective Date
26/08/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SANTA ROSA
Practice Location Address Line 1
1589 oak drive
Practice Location Address City
GULF BREEZE
Practice Location Address State
FL
Practice Location Address Zipcode
32563
Mode Code
Microbiology Technologist, Serology Technologist, Clinical Chemistry Technologist, Hematology Technologist, Immunohematology Technologist
Prescribing Indicator
N
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