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Individual

MR. JOHN EDWARD NELSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
US COAST GUARD SFO GALVESTON #1 FERRY ROAD, GALVESTON, TX 77553
(409) 766-4776
(409) 766-4765
Mailing address
600 19TH ST, #12, GALVESTON, TX 77550-2047
(409) 766-4776
(409) 766-4765

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
06/07/2006
Last updated
07/08/2007
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