JACQUELINE JOSIE NELSON

GILLETTE, WY
NPI1457024119
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WY  PTA-1049)
Enumeration Date2021-07-28
Last Update Date2021-07-28
Business Address
JACQUELINE JOSIE NELSON PTA
305 E LAKEWAY RD
GILLETTE, WY 82718-6301
Phone number: 307-696-6045
Mailing Address
JACQUELINE JOSIE NELSON PTA
390 AMERICAN RD UNIT A
GILLETTE, WY 82716-9634
Phone number:
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