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Licenses
Osteopathic Medicine
Utah
86474538904
Roger Timothy Park
Osteopathic Medicine in Providence, UT
License number
Utah 8647453-8904
Issued Date
May 9, 2013
Expiration Date
May 31, 2018
Category
Osteopathic Physician
Type
Osteopathic Controlled Substance (Schedule 2-5)
Address
Address
Providence, UT
Education
MIDWESTERN UNIVERSITY ARIZONA CAMPUS
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