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1407462617
ANNELISE MORTENSEN
FOLSOM, CA
NPI
1407462617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-09-22
Last Update Date
2020-10-22
Business Address
ANNELISE MORTENSEN
1825 PRAIRIE CITY RD
FOLSOM, CA 95630-9578
Phone number: 916-693-6351
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Mailing Address
ANNELISE MORTENSEN
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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