LISA MORTENSEN

PLEASANT GROVE, UT
NPI1770643975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  6332468-4810)
Enumeration Date2006-12-11
Last Update Date2007-07-08
Business Address
Mrs. LISA MORTENSEN MS ATC
405 S 100 E STE 102
PLEASANT GROVE, UT 84062-2751
Phone number: 801-785-9991
Mailing Address
Mrs. LISA MORTENSEN MS ATC
1915 W 140 S
OREM, UT 84058-2062
Phone number: 801-812-2736
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