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1992096754
JACK NELSON
ALLISON PARK, PA
NPI
1992096754
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: PA PS001530L)
Enumeration Date
2011-04-28
Last Update Date
2011-04-28
Business Address
JACK NELSON PH.D.
2219 LAUREL LN
ALLISON PARK, PA 15101-2103
Phone number: 412-486-0395
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Mailing Address
JACK NELSON PH.D.
2219 LAUREL LN
ALLISON PARK, PA 15101-2103
Phone number: 412-486-0395
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