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1346256690
WAYNE W MORTENSEN
PROVO, UT
NPI
1346256690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: UT 1762231205)
Enumeration Date
2006-07-31
Last Update Date
2010-06-15
Business Address
-- WAYNE W MORTENSEN MD
1157 N 300 W #201
PROVO, UT 84604-6124
Phone number: 801-357-8898
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Mailing Address
-- WAYNE W MORTENSEN MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-8898
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