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Takeshia
Takeshia
Russell
Certified nursing assistant
Palatka, United States
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Florida Health Care Practitioner Data Portal
Full name
TAKESHIA RUSSELL
Job Title
Certified Nursing Assistant
Location
Palatka, FL, USA
LIC ID
417561
Current License Expiration Date
31/05/2024
Original Date
10/05/2007
Professional Rank Code
CNA
Effective Date
25/02/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PUTNAM
Mailing Address Line 2
APT A112
Practice Location Address Line 1
2706 WEST MAIN STREET
Practice Location Address Line 2
APT A112
Practice Location Address City
PALATKA
Practice Location Address State
FL
Practice Location Address Zipcode
32177
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