Individual
JESSE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 FAIRVIEW BLVD, RED WING, MN 55066-2848
(651) 267-5000
Mailing address
1215 WALTER AVE, RED WING, MN 55066-3359
(651) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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