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1124538236
JON GARY NELSON
PRESCOTT, AZ
NPI
1124538236
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LPC-16805)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
Mr. JON GARY NELSON LPC
4992 CACTUS PL
PRESCOTT, AZ 86301-5845
Phone number: 602-628-6190
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Mailing Address
Mr. JON GARY NELSON LPC
4992 CACTUS PL
PRESCOTT, AZ 86301-5845
Phone number: 602-628-6190
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