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Phara
Phara
Metayer
Licensed practical nurse
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
PHARA METAYER
Job Title
Licensed Practical Nurse
Location
Jacksonville, FL, USA
LIC ID
219404
Current License Expiration Date
31/07/2025
Original Date
05/05/2022
Professional Rank Code
PN
Effective Date
05/05/2022
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Mailing Address Line 2
APT 4101
Practice Location Address Line 1
1620 Bartram Rd
Practice Location Address Line 2
APT 4101
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32207
Mode Code
Multistate License
Prescribing Indicator
N
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