Malcolm D Merrill
Physician in Provo, UT

License number
Utah 188376-8905
Issued Date
Nov 9, 1992
Expiration Date
Jan 31, 1998
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 19, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Malcolm D Merrill, age 97
3586 180 E, Provo, UT 84604
(801) 229-1705
(801) 802-7343

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