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1205253556
GREGORY G NELSON
APPLETON, WI
NPI
1205253556
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI 15767-131)
Enumeration Date
2014-03-25
Last Update Date
2014-03-25
Business Address
-- GREGORY G NELSON
607 W 7TH ST
APPLETON, WI 54911-5923
Phone number: 920-739-3235
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Mailing Address
-- GREGORY G NELSON
716 MILWAUKEE ST
MENASHA, WI 54952-2236
Phone number: 920-915-3886
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