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1245289123
BRYAN NELSON HOUSE
NICEVILLE, FL
NPI
1245289123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL dn15422)
Enumeration Date
2006-05-09
Last Update Date
2007-07-08
Business Address
Dr. BRYAN NELSON HOUSE dds
4400 E HIGHWAY 20 STE 111
NICEVILLE, FL 32578-8779
Phone number: 850-897-4171
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Mailing Address
Dr. BRYAN NELSON HOUSE dds
1327 WINDWARD CIR
NICEVILLE, FL 32578-4310
Phone number: 850-897-7588
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