DAMON SCOTT MORTENSEN

REXBURG, ID
NPI1760619365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100185)
Enumeration Date2009-06-22
Last Update Date2009-06-22
Business Address
DAMON SCOTT MORTENSEN OD
49 E 1ST S
REXBURG, ID 83440-1966
Phone number: 208-356-4444
Mailing Address
DAMON SCOTT MORTENSEN OD
49 E 1ST S
REXBURG, ID 83440-1966
Phone number: 208-356-4444
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