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Organization

G P NELSON DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ADALINE M ROSSOW RDA CDA (OFFICE MANAGER)
(507) 831-4714
Entity
Organization

Contact information

Practice address
1020 FOURTH AVENUE, WINDOM, MN 56101-1440
(507) 831-3717
(507) 831-3718
Mailing address
1020 FOURTH AVENUE, WINDOM, MN 56101
(507) 831-3717
(507) 831-3718

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8932
MN

Other

Enumeration date
08/13/2006
Last updated
04/25/2011
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