LARRY DEAN NELSON

CHARLOTTE, NC
NPI1306950076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  101010)
Enumeration Date2006-08-18
Last Update Date2007-12-28
Business Address
-- LARRY DEAN NELSON PA-C
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203-5863
Phone number: 704-373-0212
Mailing Address
-- LARRY DEAN NELSON PA-C
PO BOX 60122
CHARLOTTE, NC 28260-0122
Phone number: 704-373-0212
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