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Licenses
Physician
Utah
1363368905
Bryce Jay Fairbanks
Physician in Salt Lake City, UT
License number
Utah 136336-8905
Issued Date
Jan 1, 1910
Expiration Date
Jan 31, 2008
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Salt Lake City, UT
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