Shawn A Blad
Medical Practice in Provo, UT

License number
Utah 304214-6201
Issued Date
Nov 21, 1995
Expiration Date
Nov 30, 1998
Category
Health Care Assistant
Type
Health Care Assistant - Obsolete
Address
Address
Provo, UT
LicenseFiles verified this license of Nov 20, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Shawn A Blad, age 53
1691 State St, Hurricane, UT 84737
(435) 635-8112

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