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1245737345
JAMEY L NELSON
GALLIPOLIS, OH
NPI
1245737345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OH 120483)
Enumeration Date
2018-04-06
Last Update Date
2018-04-06
Business Address
JAMEY L NELSON
1134 JACKSON PIKE
GALLIPOLIS, OH 45631-2600
Phone number: 740-446-6020
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Mailing Address
JAMEY L NELSON
105 N 3RD ST
RACINE, OH 45771
Phone number: 740-444-9596
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