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Licenses
Nursing
Utah
62149783103
Lacy Ann Park
Nursing in Mountain Home, UT
License number
Utah 6214978-3103
Issued Date
Jun 15, 2006
Expiration Date
Oct 15, 2006
Category
Nurse
Type
Temporary Licensed Practical Nurse
Address
Address
Mountain Home, UT
Education
COLLEGE OF EASTERN UTAH
SNOW COLLEGE
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