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1205113875
TERRA RENEE NELSON
SAN DIEGO, CA
NPI
1205113875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 29298)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
Ms. TERRA RENEE NELSON MPT
4141 34TH ST
SAN DIEGO, CA 92104-2109
Phone number: 619-955-3459
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Mailing Address
Ms. TERRA RENEE NELSON MPT
4141 34TH ST
SAN DIEGO, CA 92104-2109
Phone number: 619-955-3459
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