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Individual

NELSON THORN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2766 W 11 MILE RD, BERKLEY, MI 48072-3033
(248) 542-2424
(248) 542-5621
Mailing address
17891 BIRMINGHAM ST, ROSEVILLE, MI 48066-4613
(313) 859-1072

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703126321
MI

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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