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1417029927
JAMES MICHAEL NELSON
FORT WAYNE, IN
NPI
1417029927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22003722A)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
Mr. JAMES MICHAEL NELSON M.A., CCC-SLP
415 MISSION HILL DR
FORT WAYNE, IN 46804-6425
Phone number: 260-431-2651
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Mailing Address
Mr. JAMES MICHAEL NELSON M.A., CCC-SLP
609 THREE RIVERS N
FORT WAYNE, IN 46802-1306
Phone number: 260-426-8460
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