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Soufiane
Soufiane
Mansouri
Radiologic technology
Miramar, United States
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Florida Health Care Practitioner Data Portal
Full name
soufiane mansouri
Job Title
Radiologic Technology
Location
Miramar, FL, USA
LIC ID
105904
Current License Expiration Date
28/02/2025
Original Date
16/08/2019
Professional Rank Code
CRT
Effective Date
16/08/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
BROWARD
Practice Location Address Line 1
8648 W Long Acre Dr
Practice Location Address City
MIRAMAR
Practice Location Address State
FL
Practice Location Address Zipcode
33025
Mode Code
Radiation Therapy Technologist
Prescribing Indicator
N
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