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Licenses
Physician
Utah
2745868905
Tissa Ryoko Hata
Physician in Salt Lake City, UT
License number
Utah 274586-8905
Issued Date
May 27, 1994
Expiration Date
Jan 31, 2002
Category
Physician
Type
Physician/Surgeon CS (Schedule 2-5)
Address
Address
Salt Lake City, UT
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