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NADINE AVE NELSON

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1457942229

Individual Registrant:
 NADINE AVE NELSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
5761 WELLS CIRCLE PRVT STONE MTN, GA 30087-3008 US
Tel: 470-782-2371  Fax: --

Contact information for business:
5761 WELLS CIR  STONE MOUNTAIN, GA 30087-6007 US
Tel: 470-782-2371  Fax: --

Registration Information:
NPI: 1457942229
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
GALMT007938

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
5520NY05
5520GA05




HEALTH CARE JOBS GA - Page 1



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