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1487971198
MICHAEL NELSON
RANCHO CUCAMONGA, CA
NPI
1487971198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-04-21
Last Update Date
2010-04-21
Business Address
-- MICHAEL NELSON RASi
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730-0707
Phone number: 909-989-9724
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Mailing Address
-- MICHAEL NELSON RASi
11777 SEBASTIAN WAY STE 102
RANCHO CUCAMONGA, CA 91730-0707
Phone number: 909-989-9724
Copy
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