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Individual
IAN OLAZO VELEZ
Active
Individual
IAN OLAZO VELEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95105226
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95105226
CA
Other
Enumeration date
03/20/2019
Last updated
04/19/2019
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