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1396142311
GREGORY CLIFFORD NELSON
TRAVIS AFB, CA
NPI
1396142311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 1121110)
Enumeration Date
2014-11-20
Last Update Date
2014-11-20
Business Address
-- GREGORY CLIFFORD NELSON P.A.
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-7611
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Mailing Address
-- GREGORY CLIFFORD NELSON P.A.
2713 MANZANO
MISSION VIEJO, CA 92692
Phone number: 949-412-7695
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