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Licenses
Physician
Utah
1664161205
Jacqueline B Petravage
Physician in Salt Lake City, UT
License number
Utah 166416-1205
Issued Date
Aug 11, 1981
Expiration Date
Jan 31, 2014
Category
Physician
Type
Physician & Surgeon
Address
Address
Salt Lake City, UT
Professional information
Dr. Jacqueline B Petravage, Casper WY - MD (Doctor of Medicine)
Specialties:
Family Medicine, Neuropsychiatry (Psychiatry)
Address:
1522 E A St, Casper 82601
500 Foothill Blvd STE 47, Salt Lake City 84148
(801) 582-1565 (Phone)
,
(801) 584-2544 (Fax)
Certifications:
Family Practice, 1984, Psychiatry, 2009
Awards:
Healthgrades Honor Roll
Languages:
English
Education:
Medical School
University of Utah
Graduated: 1980
Jacqueline Bernadine Petravage, Salt Lake City UT
Specialties:
Psychiatrist
Address:
500 Foothill Blvd, Salt Lake City, UT 84148
2750 S 5600 W, West Valley City, UT 84120
Board certifications:
American Board of Psychiatry and Neurology Certification in Psychiatry (Psychiatry and Neurology)
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