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1750312468
MARK GEORGE NELSON
OPELOUSAS, LA
NPI
1750312468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: LA LA10059)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
Mr. MARK GEORGE NELSON PAC
4015 HWY I 49 SOUTH SERVICE RD
OPELOUSAS, LA 70570
Phone number: 337-942-6503
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Mailing Address
Mr. MARK GEORGE NELSON PAC
4015 HWY I 49 SOUTH SERVICE RD
OPELOUSAS, LA 70570
Phone number: 337-942-6503
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