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1942954656
MARK NELSON
WACO, TX
NPI
1942954656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13419)
Enumeration Date
2022-02-10
Last Update Date
2022-02-10
Business Address
MARK NELSON
2220 AUSTIN AVE
WACO, TX 76701-1625
Phone number: 254-752-3451
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Mailing Address
MARK NELSON
PO BOX 890
WACO, TX 76703-0890
Phone number: 254-752-3451
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