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1366756009
JACOB ISREAL NELSON
TAMPA, FL
NPI
1366756009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: FL 193200000X)
Enumeration Date
2010-08-05
Last Update Date
2010-08-05
Business Address
JACOB ISREAL NELSON
6627 BELLE SHADOW LN
TAMPA, FL 33634-4263
Phone number: 813-464-0049
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Mailing Address
JACOB ISREAL NELSON
6627 BELLE SHADOW LN
TAMPA, FL 33634-4263
Phone number:
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