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1790184364
JORDAN MORTENSEN
ATLANTA, GA
NPI
1790184364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367H00000X Anesthesiologist Assistant
Enumeration Date
2014-08-19
Last Update Date
2014-08-19
Business Address
Mr. JORDAN MORTENSEN AA
1984 PEACHTREE RD NW
ATLANTA, GA 30309-5219
Phone number: 404-351-1745
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Mailing Address
Mr. JORDAN MORTENSEN AA
1984 PEACHTREE RD NW STE 515
ATLANTA, GA 30309-5219
Phone number: 404-351-1745
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