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1790351906
AMANDA M MORTENSEN
SALT LAKE CITY, UT
NPI
1790351906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
AMANDA M MORTENSEN
515 S 700 E STE 2A
SALT LAKE CITY, UT 84102-2855
Phone number: 801-935-4171
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Mailing Address
AMANDA M MORTENSEN
1985 S 2100 E APT 13
SALT LAKE CITY, UT 84108-3142
Phone number:
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