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Licenses
Physician
Utah
3642238905
James Derrisaw
Physician in Riverton, WY
License number
Utah 364223-8905
Issued Date
Nov 30, 1998
Expiration Date
Jan 31, 2004
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Riverton, WY
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