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1558448860
LISA T NELSON
DETROIT, MI
NPI
1558448860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002707)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Ms. LISA T NELSON M.S., PA-C
13322 CONANT ST
DETROIT, MI 48212-2338
Phone number: 313-366-9050
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Mailing Address
Ms. LISA T NELSON M.S., PA-C
34811 MELTON ST
WESTLAND, MI 48186-4469
Phone number: 734-728-9532
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