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1225015977
JACY CRAIG NELSON
RENTON, WA
NPI
1225015977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00009342)
Enumeration Date
2005-12-23
Last Update Date
2016-07-21
Business Address
Dr. JACY CRAIG NELSON D.D.S.
19221 108TH AVE SE SUITE 2
RENTON, WA 98055-7369
Phone number: 253-852-0206
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Mailing Address
Dr. JACY CRAIG NELSON D.D.S.
19221 108TH AVE SE STE 2
RENTON, WA 98055-7369
Phone number: 253-852-0206
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