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Licenses
Physician
Utah
1674188905
Kenneth C Wallis
Physician in Park City, UT
License number
Utah 167418-8905
Issued Date
Oct 28, 1981
Expiration Date
Jan 31, 2018
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Park City, UT
Personal information
See more information about
Kenneth C Wallis at radaris.com
Name
Address
Phone
Kenneth Wallis
, age
71
PO Box 65492, Salt Lake City, UT 84165
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