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Individual

KANDICE MORTENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
709 E 200 S, HYRUM, UT 84319-1726
(435) 881-7756
Mailing address
709 E 200 S, HYRUM, UT 84319-1726

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10196092-3102
UT

Other

Enumeration date
05/14/2025
Last updated
05/14/2025
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