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Case Number and Status

Case Number: I-200-15142-385899

Submitted on:

CERTIFIED

on:

Employment

From: 2015-06-08

To: 2018-06-07 (1,095 days)

Address

1395 Nw 167th Street
Miami Gardens, FL 33169

Phone

3058314770


Attorney Summary

Location
Minneapolis, MN

Job Summary

Job Title
Physician
City and State
Morrow, GA
County
Clayton

Soc Code
29-1069.00
Naics Code
Industry Code
621111