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1255796835
ALAN E MORTIMORE
ATLANTIC, IA
NPI
1255796835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 15113)
Enumeration Date
2015-12-23
Last Update Date
2015-12-23
Business Address
-- ALAN E MORTIMORE
1500 E 10TH ST
ATLANTIC, IA 50022-1935
Phone number: 712-243-5091
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Mailing Address
-- ALAN E MORTIMORE
1500 E 10TH ST
ATLANTIC, IA 50022-1935
Phone number: 712-243-5091
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