Jeffrey D Black
Medical Practice in Salt Lake City, UT

License number
Utah 314470-6201
Issued Date
Nov 30, 1995
Expiration Date
Nov 30, 1996
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Salt Lake City, UT
LicenseFiles verified this license of Nov 20, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Jeffrey Black, age 64
635 N 100 E, Brigham City, UT 84302
(435) 881-3795
Jeffrey Black
565 N 100 W, Blanding, UT 84511
(435) 678-2903

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