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1801057492
MATTHEW ANSON NELSON
GREEN BAY, WI
NPI
1801057492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 6248-15)
Enumeration Date
2008-06-17
Last Update Date
2008-06-17
Business Address
MATTHEW ANSON NELSON DDS
2805 LIBAL ST SUITE A
GREEN BAY, WI 54301-2877
Phone number: 920-336-6062
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Mailing Address
MATTHEW ANSON NELSON DDS
1120 LANSDALE LN
DE PERE, WI 54115-1673
Phone number: 608-220-6842
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