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Licenses
Physician
Utah
1874231205
E Wayne Larsen
Physician in Centerville, UT
License number
Utah 187423-1205
Issued Date
Jun 9, 1992
Expiration Date
Jan 31, 2018
Category
Physician
Type
Physician & Surgeon
Address
Address
Centerville, UT
Organization information
See more information about
E Wayne Larsen at bizstanding.com
E. WAYNE LARSEN, M.D., INC
1786 N Main, Centerville, UT 84014
Registration:
Jul 14, 2004
State ID:
5689014-0142
Business type:
Corporation - Domestic - Profit
Agent:
John S Bradley,
111 E Broadway 11, Salt Lake City, UT 84111
(Physical)
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