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1902429269
MICHAEL DAVID NELSON
PROVO, UT
NPI
1902429269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: UT 9438280-6004)
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
Mr. MICHAEL DAVID NELSON CMHC
1355 N UNIVERSITY AVE STE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
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Mailing Address
Mr. MICHAEL DAVID NELSON CMHC
1355 N UNIVERSITY AVE STE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
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