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Licenses
Physician
Utah
1875368905
Douglas Ugene Blank
Physician in Salt Lake City, UT
License number
Utah 187536-8905
Issued Date
Jul 7, 1992
Expiration Date
Dec 31, 1994
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Salt Lake City, UT
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