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Licenses
Nursing
Utah
3315763102
Kenneth Berdell Lake
Nursing in Payson, UT
License number
Utah 331576-3102
Issued Date
Jul 20, 1999
Expiration Date
Jan 31, 2005
Category
Nurse
Type
Registered Nurse (Under Interstate Compact)
Address
Address
Payson, UT
Personal information
See more information about
Kenneth Berdell Lake at radaris.com
Name
Address
Phone
Kenneth Lake
401 N 900 E, Provo, UT 84606
(801) 373-0683
Kenneth Lake
, age
50
876 Greenridge Ave, Payson, UT 84651
(801) 465-3368
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