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1750905881
DOUGLAS NELSON
CHAMPAIGN, IL
NPI
1750905881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: IL 227001826)
Enumeration Date
2020-06-04
Last Update Date
2020-06-04
Business Address
DOUGLAS NELSON LMT, BCTMB
407 E WINDSOR RD
CHAMPAIGN, IL 61820-7722
Phone number: 217-351-1011
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Mailing Address
DOUGLAS NELSON LMT, BCTMB
407 E WINDSOR RD
CHAMPAIGN, IL 61820-7722
Phone number: 217-351-1011
Copy
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