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1699933085
WILLIAM AAGE NELSON
ST PETERSBURG, FL
NPI
1699933085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: FL 65)
Enumeration Date
2008-06-02
Last Update Date
2008-06-02
Business Address
Mr. WILLIAM AAGE NELSON
714 JACKSON ST N
ST PETERSBURG, FL 33705-1337
Phone number: 727-895-4663
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Mailing Address
Mr. WILLIAM AAGE NELSON
714 JACKSON ST N
ST PETERSBURG, FL 33705-1337
Phone number: 727-895-4663
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