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Paul
Paul
Champino
Primary care
Registered nurse
Lakeland,
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Florida Health Care Practitioner Data Portal
Full name
Paul Champino
Job Title
Registered Nurse
Location
Lakeland, FL, USA
LIC ID
543036
Current License Expiration Date
30/04/2025
Original Date
11/01/2016
Professional Rank Code
RN
Effective Date
11/01/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
POLK
Practice Location Address Line 1
1600 Lakeland Hills Blvd
Practice Location Address Line 2
Watson Clinic LLC
Practice Location Address City
LAKELAND
Practice Location Address State
FL
Practice Location Address Zipcode
33805
Mode Code
Single-state License
Prescribing Indicator
N
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