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Individual
JOHNATHAN NELSON HOUSE
Active
Individual
JOHNATHAN NELSON HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, LAT
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11612
TX
172M00000X
Mechanotherapist
AT4786
TX
Other
Enumeration date
04/17/2011
Last updated
06/05/2013
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