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Mirna
Mirna
Kelly
Clinical laboratory personnel
North Port, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
MIRNA KELLY
Job Title
Clinical Laboratory Personnel
Location
North Port, FL, USA
LIC ID
37905
Current License Expiration Date
31/08/2024
Original Date
23/09/2004
Professional Rank Code
SU
Effective Date
23/09/2004
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
SARASOTA
Practice Location Address Line 1
2442 Nadell Rd
Practice Location Address City
NORTH PORT
Practice Location Address State
FL
Practice Location Address Zipcode
34288
Mode Code
Histology Supervisor
Prescribing Indicator
N
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