Syiane E Wallace
Medical Practice in Provo, UT

License number
Utah 308068-6201
Issued Date
Jul 31, 1995
Expiration Date
Nov 30, 1996
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.

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