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1649678053
LARRY NELSEN
ALBANY, NY
NPI
1649678053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 20836)
Enumeration Date
2014-12-17
Last Update Date
2014-12-17
Business Address
-- LARRY NELSEN
301 S ALLEN ST
ALBANY, NY 12208-2070
Phone number: 518-489-7777
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Mailing Address
-- LARRY NELSEN
301 S ALLEN ST
ALBANY, NY 12208-2070
Phone number: 518-489-7777
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