Alta Jean Grossman
Medical Practice in Provo, UT

License number
Utah 376675-6201
Issued Date
Aug 6, 1999
Expiration Date
May 31, 2005
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 21, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Alta Grossman, age 79
1375 W 500 N TRLR 99, Provo, UT 84601
(801) 374-5454

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