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Individual

JENNIFER LORRAINE NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3597 KESWICK DR, ATLANTA, GA 30341-2003
(678) 313-3872
Mailing address
1222 DRUID KNOLL DR NE, ATLANTA, GA 30319-4110

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003982
GA

Other

Enumeration date
06/15/2010
Last updated
06/15/2010
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