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1316308307
BRENT MORTENSEN
CULLMAN, AL
NPI
1316308307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-118166)
Enumeration Date
2016-03-17
Last Update Date
2025-01-03
Business Address
BRENT MORTENSEN CRNP
1938 AL HIGHWAY 157 STE 101
CULLMAN, AL 35058-1819
Phone number: 256-739-4030
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Mailing Address
BRENT MORTENSEN CRNP
234 COUNTY ROAD 1408
CULLMAN, AL 35058-0539
Phone number:
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