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1548009459
MELLISA LYNN MORTENSEN
KAILUA, HI
NPI
1548009459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-21
Last Update Date
2024-05-21
Business Address
MELLISA LYNN MORTENSEN
203 KAPAA QUARRY PLACE 5002
KAILUA, HI 96734
Phone number: 808-247-2973
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Mailing Address
MELLISA LYNN MORTENSEN
47-372 KAPEHE ST # A
KANEOHE, HI 96744-4810
Phone number: 385-346-9857
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