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1841592185
JUAN CARLOS NELSON
TAMPA, FL
NPI
1841592185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL 4983)
Enumeration Date
2010-11-18
Last Update Date
2010-11-18
Business Address
Mr. JUAN CARLOS NELSON MAEd CAP
4422 E COLUMBUS DR
TAMPA, FL 33605-3233
Phone number: 813-384-4121
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Mailing Address
Mr. JUAN CARLOS NELSON MAEd CAP
4422 E COLUMBUS DR
TAMPA, FL 33605-3233
Phone number: 813-384-4121
Copy
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