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Licenses
Nursing
Utah
3614303102
Shane Landrum Otis
Nursing in Providence, UT
License number
Utah 361430-3102
Issued Date
Jul 14, 1998
Expiration Date
Jan 31, 2017
Category
Nurse
Type
Registered Nurse (Under Interstate Compact)
Address
Address
Providence, UT
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Micheale Kerr Webb
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Eva Marie Stephens
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SCOTT HULL
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