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1376764803
DIANE NELSON
AMHERST, NY
NPI
1376764803
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY 000134)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- DIANE NELSON ATC
3925 SHERIDAN DR
AMHERST, NY 14226-1738
Phone number: 716-250-9999
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Mailing Address
-- DIANE NELSON ATC
203 FAIRVALE RD
CHEEKTOWAGA, NY 14225-2262
Phone number:
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