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Licenses
Dentist
Utah
1317928903
Kent Blaine Hansen
Dentist in Lake Shore, UT
License number
Utah 131792-8903
Issued Date
Mar 19, 1993
Expiration Date
May 31, 2012
Category
Dental
Type
Dentist Controlled Substance (Schedule 2-5)
Address
Address
Lake Shore, UT
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