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Individual
MARIELENA CECILIA VASQUEZ
Active
Individual
MARIELENA CECILIA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
001912
GA
208000000X
Pediatrics Physician
Primary
62790
GA
Other
Enumeration date
04/02/2007
Last updated
12/31/2025
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