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1568187169
BRAYDEN BRADLEY MORTENSEN
DURHAM, NC
NPI
1568187169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5017006)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
BRAYDEN BRADLEY MORTENSEN
5716 FAYETTEVILLE RD
DURHAM, NC 27713-9661
Phone number: 919-572-1868
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Mailing Address
BRAYDEN BRADLEY MORTENSEN
5529 SUNLIGHT DR APT 205
DURHAM, NC 27707-9057
Phone number: 801-673-5859
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