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Individual
MR. FELIX OLMEDO GONZALES JR.
Active
Individual
MR. FELIX OLMEDO GONZALES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ORDAINED PASTOR
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
NOT LICENSED
NM
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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