Scott Pyper Wallace
Physician in Provo, UT

License number
Utah 141935-1205
Issued Date
Aug 17, 1954
Expiration Date
Sep 27, 1999
Category
Physician
Type
Physician & Surgeon
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Scott R Wallace, age 70
411 925 N, Logan, UT 84321
(435) 753-4072
Scott R Wallace
154 600 N, Logan, UT 84321
(435) 753-4072

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