Individual
JONATHAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 SARA CIR, MARSHALL, MN 56258-2132
(507) 430-1582
Mailing address
704 SARA CIR, MARSHALL, MN 56258-2132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-184303-3
MN
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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