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Licenses
Medical Practice
Utah
48621526201
Benjamin Pantone Wallace
Medical Practice in Ogden, UT
License number
Utah 4862152-6201
Issued Date
Jan 19, 2001
Expiration Date
Nov 30, 2002
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Ogden, UT
Education
UNIVERSITY OF UTAH, Aug 7, 2009
COLLEGE OF EASTERN UTAH
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