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1023680436
IVAN LOUIS NELSON
SAINT PAUL, MN
NPI
1023680436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MN 304554)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
Prof. IVAN LOUIS NELSON LADC,CPP
34 MORELAND AVE E
SAINT PAUL, MN 55118-2444
Phone number: 612-306-3416
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Mailing Address
Prof. IVAN LOUIS NELSON LADC,CPP
9333 NESBITT RD
BLOOMINGTON, MN 55437-1916
Phone number: 612-306-3416
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