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1023391083
JODI LYNN MORTENSEN
SALT LAKE CITY, UT
NPI
1023391083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 328796-4405)
Enumeration Date
2011-09-26
Last Update Date
2016-04-22
Business Address
-- JODI LYNN MORTENSEN FNP
8 TH AVENUE AND C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-3858
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Mailing Address
-- JODI LYNN MORTENSEN FNP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-3858
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