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Licenses
Physician
Utah
71057008905
Latha Sree Polavaram
Physician in Salt Lake City, UT
License number
Utah 7105700-8905
Issued Date
Sep 4, 2008
Expiration Date
Jan 31, 2014
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Salt Lake City, UT
Education
ECFMG
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