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1417200924
TODD R NELSON
INDIO, CA
NPI
1417200924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RA9890314)
Enumeration Date
2012-10-22
Last Update Date
2016-04-01
Business Address
-- TODD R NELSON CADCII
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 513-967-6834
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Mailing Address
-- TODD R NELSON CADCII
45550 GRACE ST
INDIO, CA 92201-4610
Phone number: 513-967-6834
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