LYLE WALLACE NELSON

CAMARILLO, CA
NPI1043440886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2009-07-14
Last Update Date2009-07-14
Business Address
-- LYLE WALLACE NELSON
975 FLYNN RD
CAMARILLO, CA 93012-8704
Phone number: 805-388-7740
Mailing Address
-- LYLE WALLACE NELSON
975 FLYNN RD
CAMARILLO, CA 93012-8704
Phone number: 805-388-7740
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