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1881326791
MICQUE ELLYN MORTELA
HILL AFB, UT
NPI
1881326791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 9588135-3102)
Enumeration Date
2022-06-29
Last Update Date
2022-06-29
Business Address
Mrs. MICQUE ELLYN MORTELA RN
3004 MINUTEMAN WAY APT B
HILL AFB, UT 84056-1729
Phone number: 978-995-5705
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Mailing Address
Mrs. MICQUE ELLYN MORTELA RN
3004 MINUTEMAN WAY APT B
HILL AFB, UT 84056-1729
Phone number: 978-995-5705
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