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1396133211
NICHOLAS GENE NELSON
CHICAGO, IL
NPI
1396133211
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.020426)
Enumeration Date
2014-12-30
Last Update Date
2014-12-30
Business Address
-- NICHOLAS GENE NELSON PT
3919 W FOSTER AVE
CHICAGO, IL 60625-6056
Phone number: 773-588-9500
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Mailing Address
-- NICHOLAS GENE NELSON PT
3919 W FOSTER AVE
CHICAGO, IL 60625-6056
Phone number: 773-588-9500
Copy
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