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Licenses
Dentist
Utah
47988548903
Jack Lee Brauer
Dentist in Park City, UT
License number
Utah 4798854-8903
Issued Date
Sep 8, 2000
Expiration Date
May 31, 2018
Category
Dental
Type
Dentist Controlled Substance (Schedule 2-5)
Address
Address
Park City, UT
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LARK G ELLIOTT
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1729 Sidewinder Dr STE 102, Park City, UT 84060
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