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Licenses
Nursing
Utah
62149783101
Lacy Ann Park
Nursing in Mountain Home, UT
License number
Utah 6214978-3101
Issued Date
Jul 6, 2006
Expiration Date
Jan 31, 2012
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Mountain Home, UT
Education
COLLEGE OF EASTERN UTAH
SNOW COLLEGE
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