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Licenses
Dentist
Utah
83991449920
Wendi Sue Provin
Dentist in Roosevelt, UT
License number
Utah 8399144-9920
Issued Date
Sep 6, 2012
Expiration Date
May 31, 2018
Category
Dental
Type
Dental Hygienist with Local Anesthesia
Address
Address
Roosevelt, UT
Education
KIRKWOOD COMMUNITY COLLEGE, May 1, 2003
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