Stanford Eugene Poulson
Physician in Salt Lake City, UT

License number
Utah 135365-8905
Issued Date
Jun 9, 1989
Expiration Date
Dec 31, 1994
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Salt Lake City, UT
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

Personal information

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Name
Address
Phone
Stanford Poulson, age 106
7037 S Horizon Cir, Salt Lake Cty, UT 84121
(801) 942-5390

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