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1013305283
BRUCE A MORTENSEN
FLAGSTAFF, AZ
NPI
1013305283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-12-22
Last Update Date
2020-10-26
Business Address
Mr. BRUCE A MORTENSEN PA
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001-8759
Phone number: 928-226-6400
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Mailing Address
Mr. BRUCE A MORTENSEN PA
1110 E ROUTE 66 STE 100
FLAGSTAFF, AZ 86001-4772
Phone number: 928-773-9695
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