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Shirley
Shirley
Berry miracle
Licensed practical nurse
Land O' Lakes, United States
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Florida Health Care Practitioner Data Portal
Full name
SHIRLEY BERRY MIRACLE
Job Title
Licensed Practical Nurse
Location
Land O Lakes
LIC ID
127474
Current License Expiration Date
31/07/2025
Original Date
28/12/2007
Professional Rank Code
PN
Effective Date
28/12/2007
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PASCO
Practice Location Address Line 1
104 13801 Bruce B Downs Blvd
Practice Location Address City
TAMPA
Practice Location Address State
FL
Practice Location Address Zipcode
33613
Mode Code
Single-state License
Prescribing Indicator
N
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