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Licenses
Physician
Utah
30859088905
Kimberly Ann Balog
Physician in Sandy, UT
License number
Utah 3085908-8905
Issued Date
Mar 10, 2000
Expiration Date
Jan 31, 2012
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Sandy, UT
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