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Case Number and Status

Case Number: I-200-13204-142522

Submitted on:

CERTIFIED

on:

Employment

From: 2013-07-26

To: 2016-07-21 (1,091 days)

Address

351 Ne Franklin Street
Lake City, FL 32055

Phone

Not Given


Job Summary

Job Title
Provider Ob/gyn
City and State
Starke, FL
County

Soc Code
29-1064.00
Naics Code
Industry Code
6211