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Licenses
Nursing
Utah
61182343102
Shane Clark Fowlke
Nursing in Lake Shore, UT
License number
Utah 6118234-3102
Issued Date
Mar 6, 2007
Expiration Date
Jan 31, 2017
Category
Nurse
Type
Registered Nurse (Under Interstate Compact)
Address
Address
Lake Shore, UT
Education
UTAH VALLEY STATE COLLEGE
UTAH VALLEY STATE COLLEGE-AD
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