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1558057802
SHANNON MORTENSEN
SALT LAKE CITY, UT
NPI
1558057802
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-04-11
Last Update Date
2023-04-11
Business Address
SHANNON MORTENSEN
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
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Mailing Address
SHANNON MORTENSEN
16255 VENTURA BLVD STE 830
ENCINO, CA 91436-2317
Phone number:
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