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1225260631
LARRY NELSON
SAN FRANCISCO, CA
NPI
1225260631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
-- LARRY NELSON
214 HAIGHT ST
SAN FRANCISCO, CA 94102-6127
Phone number: 415-554-1480
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Mailing Address
-- LARRY NELSON
4764 BELFAST AVE
OAKLAND, CA 94619-3019
Phone number:
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