JUSTIN L MORTENSEN

FORT EISENHOWER, GA
NPI1376333872
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-05-08
Last Update Date2025-05-08
Business Address
JUSTIN L MORTENSEN
201 3RD AVE BLDG 38200 PMB 216
FORT EISENHOWER, GA 30905
Phone number: 414-573-1502
Mailing Address
JUSTIN L MORTENSEN
201 3RD AVE BLDG 38200 PMB 216
FORT EISENHOWER, GA 30905
Phone number: 414-573-1502
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