BRAYDEN BRADLEY MORTENSEN

DURHAM, NC
NPI1568187169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NC  5017006)
Enumeration Date2022-10-05
Last Update Date2022-10-05
Business Address
BRAYDEN BRADLEY MORTENSEN
5716 FAYETTEVILLE RD
DURHAM, NC 27713-9661
Phone number: 919-572-1868
Mailing Address
BRAYDEN BRADLEY MORTENSEN
5529 SUNLIGHT DR APT 205
DURHAM, NC 27707-9057
Phone number: 801-673-5859
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