Lareissa Afton Place
Medical Practice in Centerville, UT

License number
Utah 350929-6201
Issued Date
Nov 6, 1997
Expiration Date
Nov 30, 1998
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Centerville, UT
LicenseFiles verified this license of Nov 21, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Lareissa Place, age 45
163 E 1100 N, Centerville, UT 84014
(801) 389-0205
Lareissa A Place
777 1000 N, Logan, UT 84321

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