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1124103171
JEREMY J NELSON
SAN DIEGO, CA
NPI
1124103171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT26938)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
-- JEREMY J NELSON MSPT, CSCS
3080 WING ST
SAN DIEGO, CA 92110-4745
Phone number: 858-254-1017
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Mailing Address
-- JEREMY J NELSON MSPT, CSCS
3080 WING ST
SAN DIEGO, CA 92110-4745
Phone number: 858-254-1017
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