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1053037887
JACOB MATTHEW NELSON
SAINT MARYS, GA
NPI
1053037887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
Mr. JACOB MATTHEW NELSON IDHS
563 POINT PETER RD
SAINT MARYS, GA 31558-4470
Phone number: 912-577-1292
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Mailing Address
Mr. JACOB MATTHEW NELSON IDHS
563 POINT PETER RD
SAINT MARYS, GA 31558-4470
Phone number: 912-577-1292
Copy
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