Bruce Fernstrom
Medical Practice in Provo, UT

License number
Utah 290766-6201
Issued Date
Mar 15, 1995
Expiration Date
Nov 30, 1996
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 20, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Bruce Fernstrom, age 59
579 400, Provo, UT 84601
(801) 374-5352
Bruce Fernstrom, age 59
579 400 N, Provo, UT 84601
(801) 374-5352
Bruce Fernstrom, age 59
1215 580 N, Provo, UT 84601

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