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1376035196
CELESTE C MORTENSON PC
PROVIDENCE, UT
NPI
1376035196
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Entity Type
Organization
Authorized Contact
CELESTE C MORTENSON
Owner, President
435-512-0133
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
CELESTE C MORTENSON PC
169 N GATEWAY DR STE 175
PROVIDENCE, UT 84332-9825
Phone number: 435-752-0605
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Mailing Address
CELESTE C MORTENSON PC
361 EDGEHILL DR
PROVIDENCE, UT 84332-9426
Phone number: 435-512-0133
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