ANDREW JOSEPH NELSON

SALT LAKE CITY, UT
NPI1912617473
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
(Licence: UT  11273)
Enumeration Date2022-11-24
Last Update Date2022-11-24
Business Address
ANDREW JOSEPH NELSON
607 E 200 S
SALT LAKE CITY, UT 84102-2110
Phone number: 801-430-0954
Mailing Address
ANDREW JOSEPH NELSON
4981 S 4900 W
KEARNS, UT 84118-6316
Phone number: 801-430-0954
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