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1740840727
ISRAEL JAMESDOUGLAS NELSON
WASILLA, AK
NPI
1740840727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
Dr. ISRAEL JAMESDOUGLAS NELSON D. Min., M. S. W.
5851 E MAYFLOWER CT
WASILLA, AK 99654-7881
Phone number: 907-357-6826
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Mailing Address
Dr. ISRAEL JAMESDOUGLAS NELSON D. Min., M. S. W.
5851 E MAYFLOWER CT
WASILLA, AK 99654-7881
Phone number: 907-354-2268
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