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Individual
THERESA VELASCO
Active
Individual
THERESA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
703814
CA
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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