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1114674116
PHILIP NELSON
CHARLOTTESVILLE, VA
NPI
1114674116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-09
Last Update Date
2023-03-24
Business Address
PHILIP NELSON MS
1215 LEE ST
CHARLOTTESVILLE, VA 22908-2564
Phone number: 434-924-2663
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Mailing Address
PHILIP NELSON MS
1215 LEE ST BOX 801016
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-2663
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