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Licenses
Nursing
Utah
3733853101
Ailene Bascom
Nursing in Lake Shore, UT
License number
Utah 373385-3101
Issued Date
Jun 22, 1999
Expiration Date
Jan 31, 2004
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Lake Shore, UT
Education
UTAH VALLEY STATE COLLEGE-AD
UTAH VALLEY STATE COLLEGE, Apr 29, 1999
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