IVAN DAVID NELSON

LONGVIEW, WA
NPI1033686795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2018-10-30
Last Update Date2020-10-30
Business Address
IVAN DAVID NELSON CPC
748 14TH AVENUE
LONGVIEW, WA 98632
Phone number: 360-200-5419
Mailing Address
IVAN DAVID NELSON CPC
PO BOX 2394
LONGVIEW, WA 98632
Phone number: 360-200-5419
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