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1306950076
LARRY DEAN NELSON
CHARLOTTE, NC
NPI
1306950076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 101010)
Enumeration Date
2006-08-18
Last Update Date
2007-12-28
Business Address
-- LARRY DEAN NELSON PA-C
1001 BLYTHE BLVD STE 300
CHARLOTTE, NC 28203-5863
Phone number: 704-373-0212
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Mailing Address
-- LARRY DEAN NELSON PA-C
PO BOX 60122
CHARLOTTE, NC 28260-0122
Phone number: 704-373-0212
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