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Licenses
Nursing
Utah
3092973101
Larita Joan Wall
Nursing in Mammoth, UT
License number
Utah 309297-3101
Issued Date
Aug 15, 1995
Expiration Date
Feb 19, 1997
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Mammoth, UT
Education
UTAH VALLEY STATE COLLEGE, Dec 19, 1996
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