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1639880602
JESSICA MORTENSEN
NORTH SALT LAKE, UT
NPI
1639880602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 8384965-4202)
Enumeration Date
2022-12-09
Last Update Date
2022-12-09
Business Address
JESSICA MORTENSEN COTA
575 CUTLER DR
NORTH SALT LAKE, UT 84054-2953
Phone number: 801-936-0318
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Mailing Address
JESSICA MORTENSEN COTA
575 CUTLER DR
NORTH SALT LAKE, UT 84054-2953
Phone number: 801-936-0318
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