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Individual
MIGUEL A. VELAZQUEZ
Active
Individual
MIGUEL A. VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1761
ME
207Q00000X
Family Medicine Physician
1761
ME
Other
Enumeration date
07/05/2006
Last updated
06/04/2010
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