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1154800753
JACOB NELSON
LARAMIE, WY
NPI
1154800753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
JACOB NELSON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
JACOB NELSON
4989 N 3RD ST
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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