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Licenses
Physician
Utah
1545808905
Gary Vern Petersen
Physician in Coeur D Alene, ID
License number
Utah 154580-8905
Issued Date
Jan 4, 1973
Expiration Date
Jan 31, 2016
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Coeur D Alene, ID
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