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1063897270
JOHN NELSON
BIDDEFORD, ME
NPI
1063897270
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ME LC5779)
Enumeration Date
2015-07-29
Last Update Date
2023-12-01
Business Address
JOHN NELSON LADC
2 SPRINGBROOK DR
BIDDEFORD, ME 04005-9443
Phone number: 207-000-0000
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Mailing Address
JOHN NELSON LADC
474 MAIN ST
SPRINGVALE, ME 04083-1409
Phone number: 207-490-8500
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