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Licenses
Physician
Utah
3564238905
Jeffrey Max Wallentine
Physician in Springville, UT
License number
Utah 356423-8905
Issued Date
May 28, 1998
Expiration Date
Jan 31, 2018
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Springville, UT
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