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1003818576
RYAN J MORTENSEN
SOUTH JORDAN, UT
NPI
1003818576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: UT 5898711-9934)
Enumeration Date
2005-08-12
Last Update Date
2016-01-07
Business Address
Dr. RYAN J MORTENSEN O.D.
11506 S DISTRICT DR STE 400
SOUTH JORDAN, UT 84095-5769
Phone number: 801-495-4833
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Mailing Address
Dr. RYAN J MORTENSEN O.D.
11506 S DISTRICT DR STE 400
SOUTH JORDAN, UT 84095-5769
Phone number: 801-495-4833
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