Maxine Drucilla Fackrell
Medical Practice in Payson, UT

License number
Utah 200414-6201
Issued Date
Jan 16, 1996
Expiration Date
May 31, 2005
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Payson, 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
Maxine Fackrell
11938 S Highway 198, Payson, UT 84651
(801) 465-0735
Maxine D Fackrell, age 76
11938 Highway 198, Payson, UT 84651
(801) 465-0735
Maxine D Fackrell, age 76
346 400, Payson, UT 84651
(801) 465-0735
Maxine D Fackrell, age 76
346 400 W, Payson, UT 84651

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