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1790906469
JEANNINE S MORTENSON
CHARLOTTE, NC
NPI
1790906469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 4119)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- JEANNINE S MORTENSON SLP
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4645
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Mailing Address
-- JEANNINE S MORTENSON SLP
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4645
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