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1063655819
MELISSA LYNN MORTENSON
JACKSONVILLE BEACH, FL
NPI
1063655819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CT 004113)
Enumeration Date
2009-04-09
Last Update Date
2009-04-09
Business Address
-- MELISSA LYNN MORTENSON MS, CCC-SLP
333 1ST ST N SUITE 200
JACKSONVILLE BEACH, FL 32250-6945
Phone number: 318-512-1842
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Mailing Address
-- MELISSA LYNN MORTENSON MS, CCC-SLP
16 ANDREW LANE BOX 1295
PINEDALE, WY 82941-1295
Phone number: 318-512-1842
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