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1699785311
ROBERT GLENN NELSON
LAKE FOREST, CA
NPI
1699785311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA Pa10117)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Mr. ROBERT GLENN NELSON PA
22741 LAMBERT ST
LAKE FOREST, CA 92630-1617
Phone number: 949-581-3011
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Mailing Address
Mr. ROBERT GLENN NELSON PA
33811 DIANA DR
DANA POINT, CA 92629-2310
Phone number: 949-240-3457
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