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1649691502
HOLLEY NELSON
PHOENIX, AZ
NPI
1649691502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AZ LP047799)
Enumeration Date
2013-12-19
Last Update Date
2013-12-19
Business Address
HOLLEY NELSON
2120 E MONONA DR
PHOENIX, AZ 85024-4417
Phone number: 602-867-9011
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Mailing Address
HOLLEY NELSON
2120 E MONONA DR
PHOENIX, AZ 85024-4417
Phone number: 602-867-9011
Copy
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