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Licenses
Nursing
Utah
49382768901
Shane Verl Theobald
Nursing in Payson, UT
License number
Utah 4938276-8901
Issued Date
Oct 1, 2007
Expiration Date
Jan 31, 2018
Category
Nurse
Type
APRN-CRNA Controlled Substance (Schedule 2-5)
Address
Address
Payson, UT
Education
KAISER PERMANENTE
WEBER STATE UNIVERSITY
WEBER STATE UNIVERSITY
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