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Individual

MRS. ELAINE MARIE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COSMETIC THERAPIST

Contact information

Practice address
COSMETIC LASER INC, 8353 MENTOR AVE. UNIT 7, MENTOR, OH 44077
(440) 477-4074
Mailing address
5822 WOODHILL ST, PAINESVILLE, OH 44077-5167
(440) 477-4074

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
32.012312
OH

Other

Enumeration date
01/27/2020
Last updated
01/27/2020
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