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1801925227
KYLE ALLEN NELSON
PORTLAND, OR
NPI
1801925227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 0821360756)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
-- KYLE ALLEN NELSON MPH, ATC
5000 N WILLAMETTE BLVD
PORTLAND, OR 97203-5743
Phone number: 503-943-7747
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Mailing Address
-- KYLE ALLEN NELSON MPH, ATC
17705 SE 16TH ST
VANCOUVER, WA 98683-1918
Phone number: 360-891-8199
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