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Licenses
Nursing
Utah
3607353101
Melissa Broadbent Shack
Nursing in West Kaysville, UT
License number
Utah 360735-3101
Issued Date
Aug 14, 1998
Expiration Date
Apr 30, 2000
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
West Kaysville, UT
Education
WEBER STATE COLLEGE
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