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Individual

THEOPHILUS JULUKON NELSON II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17 W RED BANK AVE STE 103, WOODBURY, NJ 08096-1630
(856) 480-0668
Mailing address
64 FOLCROFT AVE, FOLCROFT, PA 19032-1008
(856) 480-0668

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/27/2026
Last updated
02/27/2026
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