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Licenses
Pharmacy
Utah
80259941701
Travis Lane Bastow
Pharmacy in Phoenix, AZ
License number
Utah 8025994-1701
Issued Date
Feb 5, 2016
Expiration Date
Sep 30, 2017
Category
Pharmacy
Type
Pharmacist
Address
Address
Phoenix, AZ
Education
UNIVERSITY OF UTAH COLLEGE OF PHARMACY
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