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1609421007
JAIME A MORT
LANCASTER, CA
NPI
1609421007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008554)
Enumeration Date
2019-08-03
Last Update Date
2023-09-26
Business Address
JAIME A MORT FNP
43112 15TH ST W
LANCASTER, CA 93534-6219
Phone number: 661-729-4487
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Mailing Address
JAIME A MORT FNP
1814 MORISAN AVE
PALMDALE, CA 93550-7324
Phone number: 661-233-1724
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