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1245728310
JAMIE MORTENSEN
SALT LAKE CITY, UT
NPI
1245728310
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
JAMIE MORTENSEN
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
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Mailing Address
JAMIE MORTENSEN
6205 S RODEO LN
MURRAY, UT 84121-2067
Phone number:
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