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Individual
ALEXANDER JEFFREY NELSON
Active
Individual
ALEXANDER JEFFREY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
13079175-1206
UT
363A00000X
Physician Assistant
13079175-1206
UT
363A00000X
Physician Assistant
Primary
PA66964
CA
Other
Enumeration date
01/30/2023
Last updated
09/01/2026
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