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1073241279
TERRANCE DEVON NELSON
SPOKANE, WA
NPI
1073241279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61250259)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
Mr. TERRANCE DEVON NELSON CPC
901 N MONROE ST STE 200
SPOKANE, WA 99201-2148
Phone number: 509-715-8302
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Mailing Address
Mr. TERRANCE DEVON NELSON CPC
4102 E FREDERICK AVE
SPOKANE, WA 99217-7063
Phone number: 509-638-2236
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