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1851045561
LISHA MARIE MORTENSEN
DRAPER, UT
NPI
1851045561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 12667850-4201)
Enumeration Date
2022-02-10
Last Update Date
2022-02-10
Business Address
LISHA MARIE MORTENSEN
12453 S 265 W STE B
DRAPER, UT 84020-5420
Phone number: 801-443-7775
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Mailing Address
LISHA MARIE MORTENSEN
12760 S PARK AVE UNIT 363
RIVERTON, UT 84065-3415
Phone number: 801-443-7775
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