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Licenses
Physician
Utah
3204658905
Lance R Petersen
Physician in Orem, UT
License number
Utah 320465-8905
Issued Date
Sep 19, 1996
Expiration Date
Apr 30, 2000
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Orem, UT
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