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1821647942
DIANE NELSON
WATERLOO, IL
NPI
1821647942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-09-11
Last Update Date
2019-09-11
Business Address
DIANE NELSON RSA
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
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Mailing Address
DIANE NELSON RSA
988 N ILLINOIS ROUTE 3
WATERLOO, IL 62298-1059
Phone number: 618-939-4444
Copy
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