Pennsylvania
Department of State
RUSSELL LEE MAST, II
Nursing Home Administrator
License number
NH007008
Date granted
11/12/2009
Date expires
06/30/2016
Class
Nursing Home Administrator
Status
Active
Address
Philadelphia PA 19119
palicensing.org
ID 16918473
LAST UPDATED 2024-04-10 08:09:26 UTC
LAST UPDATED 2024-04-10 08:09:26 UTC
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