Douglass W Black
Medical Practice in Salt Lake City, UT

License number
Utah 330759-6201
Issued Date
Nov 5, 1996
Expiration Date
Nov 30, 1998
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Salt Lake City, UT
Education
CREIGHTON UNIVERSITY, Jun 13, 2000

Personal information

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Name
Address
Phone
Douglass Black
4591 Holly Ln, Salt Lake Cty, UT 84117
(801) 277-3455