Diane G Van Wagoner
Medical Practice in Salt Lake City, UT

License number
Utah 332660-6201
Issued Date
Dec 17, 1996
Expiration Date
Nov 30, 1998
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Salt Lake City, UT
Education
UNIVERSITY OF PHOENIX, Jul 7, 2004
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
Diane Van
PO Box 1904, Vernal, UT 84078
(435) 790-7044
Diane A Van, age 79
2193 Hugo Ave, Salt Lake City, UT 84117
(801) 272-0365
Diane A Van, age 79
2193 Hugo Ave, Salt Lake City, UT 84117
(801) 272-0365

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