| Name | Theodore Gladstone Nelson |
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| Sex | male |
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| Birth Date | September 24, 1938 |
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| Death Date | March 20, 1982 |
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| Age at Death | 43 years, 5 months, 24 days old |
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| Birth Place | California |
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| Death Place | Los Angeles County, California |
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| Mother's Maiden Name | Moore |
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| Social Security Number | 571-38-2332 |
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