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Individual
MR. IVAN VELAZQUEZ
Active
Individual
MR. IVAN VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN195012
AZ
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN195012
AZ
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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