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1982056552
JOHN MORTENSEN
NOGALES, AZ
NPI
1982056552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: AZ 2118)
Enumeration Date
2016-07-07
Last Update Date
2016-07-07
Business Address
-- JOHN MORTENSEN OD
204 W MARIPOSA RD SUITE 24
NOGALES, AZ 85621-1007
Phone number: 520-287-3233
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Mailing Address
-- JOHN MORTENSEN OD
220 N MCKEMY AVE
CHANDLER, AZ 85226-2654
Phone number: 480-961-1865
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