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1154899045
CRYSTAL NELSON
CASPER, WY
NPI
1154899045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WY 863)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
CRYSTAL NELSON OTR
1930 E 12TH ST
CASPER, WY 82601-4075
Phone number: 307-554-7861
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Mailing Address
CRYSTAL NELSON OTR
2965 E TARPON DR STE 150
MERIDIAN, ID 83642-9007
Phone number:
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