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Licenses
Medical Practice
Utah
2812296201
Ellen LaVerne Fortuna
Medical Practice in Santa Clara, UT
License number
Utah 281229-6201
Issued Date
Nov 17, 1994
Expiration Date
May 31, 2005
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Santa Clara, UT
Personal information
See more information about
Ellen LaVerne Fortuna at radaris.com
Name
Address
Phone
Ellen L Fortuna
, age
86
1537 Santa Clara Pkwy, Santa Clara, UT 84765
(435) 628-5197
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