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1790393908
JARED MORTENSEN
PROVO, UT
NPI
1790393908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WY 1968)
Enumeration Date
2020-07-14
Last Update Date
2023-02-13
Business Address
JARED MORTENSEN PT, DPT, ATC
1157 N 300 W
PROVO, UT 84604-6124
Phone number: 801-357-1250
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Mailing Address
JARED MORTENSEN PT, DPT, ATC
1157 N 300 W
PROVO, UT 84604-6124
Phone number: 801-357-1250
Copy
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