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1417714965
JANETTE NELSON
LAKE HAVASU CITY, AZ
NPI
1417714965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ 155301)
Enumeration Date
2024-03-01
Last Update Date
2024-04-03
Business Address
JANETTE NELSON LISAC
151 RIVIERA DR STE B
LAKE HAVASU CITY, AZ 86403-5740
Phone number: 928-855-3432
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Mailing Address
JANETTE NELSON LISAC
1990 MCCULLOCH BLVD N STE D140
LAKE HAVASU CITY, AZ 86403-5749
Phone number: 928-486-2188
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