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Puja
Puja
Shastri
Certified nursing assistant
JACKSONVILLLE, US
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Florida Health Care Practitioner Data Portal
Full name
PUJA SHASTRI
Job Title
Certified Nursing Assistant
Location
Jacksonvillle
LIC ID
792275
Current License Expiration Date
31/05/2025
Original Date
31/07/2020
Professional Rank Code
CNA
Effective Date
03/09/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Mailing Address Line 2
Apt. 625
Practice Location Address Line 1
625 3050 tamaya blvd
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32245
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