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1992103402
MICHAEL MORTENSEN
BRIGHAM CITY, UT
NPI
1992103402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-12-16
Last Update Date
2014-12-16
Business Address
-- MICHAEL MORTENSEN
862 S MAIN ST STE 4
BRIGHAM CITY, UT 84302-3389
Phone number: 435-723-1799
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Mailing Address
-- MICHAEL MORTENSEN
862 S MAIN ST STE 4
BRIGHAM CITY, UT 84302-3389
Phone number:
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