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Licenses
Nursing
Utah
3201223102
Cristle A Fossum
Nursing in Provo, UT
License number
Utah 320122-3102
Issued Date
May 12, 2009
Expiration Date
Jan 31, 2017
Category
Nurse
Type
Registered Nurse (Under Interstate Compact)
Address
Address
Provo, UT
Education
UTAH VALLEY UNIVERSITY
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