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1700216561
BRETT MORTENSON
VISTA, CA
NPI
1700216561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 95000018)
Enumeration Date
2013-11-14
Last Update Date
2013-11-14
Business Address
-- BRETT MORTENSON
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
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Mailing Address
-- BRETT MORTENSON
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
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