Pennsylvania
Department of State
JOHN LAVERNE BAKER
Nursing Home Administrator
License number
NH006524
Date granted
11/10/2004
Date expires
06/30/2006
Class
Nursing Home Administrator
Status
Expired
Address
Mansfield PA 16933
palicensing.org
ID 16918053
LAST UPDATED 2024-02-12 12:32:31 UTC
LAST UPDATED 2024-02-12 12:32:31 UTC
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