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Licenses
Nursing
Utah
49382763101
Shane Verl Theobald
Nursing in Ogden, UT
License number
Utah 4938276-3101
Issued Date
Jul 16, 2003
Expiration Date
Jan 31, 2006
Category
Nurse
Type
Licensed Practical Nurse (Under Interstate Compact)
Address
Address
Ogden, UT
Education
KAISER PERMANENTE
WEBER STATE UNIVERSITY
WEBER STATE UNIVERSITY
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