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1154580652
JOHN NELSON
NEW LONDON, CT
NPI
1154580652
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CT 000441)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
-- JOHN NELSON
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
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Mailing Address
-- JOHN NELSON
365 MONTAUK AVE
NEW LONDON, CT 06320-4700
Phone number: 860-442-0711
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