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1275233728
MASON NELSON
WEST ALLIS, WI
NPI
1275233728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 7511)
Enumeration Date
2023-03-03
Last Update Date
2024-08-29
Business Address
MASON NELSON
2424 S 90TH ST
WEST ALLIS, WI 53227-2455
Phone number: 414-321-2255
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Mailing Address
MASON NELSON
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 414-321-2255
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