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1174517767
KIRSTEN MORTENSON
KINGMAN, AZ
NPI
1174517767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 2779)
Enumeration Date
2005-09-09
Last Update Date
2007-07-08
Business Address
-- KIRSTEN MORTENSON DO
3636 N STOCKTON HILL RD
KINGMAN, AZ 86409-0514
Phone number: 928-757-4398
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Mailing Address
-- KIRSTEN MORTENSON DO
3636 N STOCKTON HILL RD
KINGMAN, AZ 86409-0514
Phone number: 928-757-3611
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