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1811457229
ABIGALE ANNE MORTENSEN
GRESHAM, OR
NPI
1811457229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-03-21
Last Update Date
2019-03-21
Business Address
ABIGALE ANNE MORTENSEN
912 NE KELLY AVE
GRESHAM, OR 97030-5629
Phone number: 503-912-5502
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Mailing Address
ABIGALE ANNE MORTENSEN
7811 SE MITCHELL ST
PORTLAND, OR 97206-4249
Phone number: 503-780-9199
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