Justin L Mortensen
Justin L Mortensen is a Student in an Organized Health Care Education/Training Program in Fort Eisenhower, Georgia. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
201 3rd Ave Bldg 38200 Pmb 216Fort Eisenhower, GA 30905
Phone: (414) 573-1502
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1376333872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2025 |
| Last updated in NPPES | May 8, 2025 |
| Certification date | May 8, 2025 |
| Mailing address | 201 3rd Ave Bldg 38200, Pmb 216, Fort Eisenhower, GA 30905 |
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