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1023084902
BRENT V. NELSON
FORT CARSON, CO
NPI
1023084902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QA0000X Family Medicine, Adolescent Medicine
(Licence: AL DO407)
Enumeration Date
2006-02-28
Last Update Date
2007-07-08
Business Address
-- BRENT V. NELSON D.O.
1650 COCHRANE CIR ADOLESCENT MEDICINE USA MEDDAC, EACH,
FORT CARSON, CO 80913-4603
Phone number: 719-526-7226
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Mailing Address
-- BRENT V. NELSON D.O.
630 MAROONGLEN CT
COLORADO SPRINGS, CO 80906-6805
Phone number: 719-576-2745
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