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1033426572
CHRIS MORTENSEN
BRIGHAM CITY, UT
NPI
1033426572
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253J00000X Foster Care Agency
Enumeration Date
2010-09-03
Last Update Date
2010-09-03
Business Address
-- CHRIS MORTENSEN
862 S MAIN ST STE 4
BRIGHAM CITY, UT 84302-3389
Phone number: 435-723-1799
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Mailing Address
-- CHRIS MORTENSEN
862 S MAIN ST STE 4
BRIGHAM CITY, UT 84302-3389
Phone number: 435-723-1799
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