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Individual

DR. MONICA MORTENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1855 29TH ST # 1E-1156, BOULDER, CO 80301-1065
(720) 565-0445
(720) 565-0649
Mailing address
1855 29TH ST # 1E-1156, BOULDER, CO 80301-1065
(720) 565-0445
(720) 565-0649

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
12039T
CA
152W00000X
Optometrist
Primary
2573
CO

Other

Enumeration date
02/27/2007
Last updated
09/02/2010
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