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Individual

VICTORIA VELASQUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1592 MONROE ST, NORTH BEND, OR 97459-3657
(541) 756-2048
(541) 756-2058
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PROFESSIONALLICENSE

Other

Enumeration date
05/06/2021
Last updated
08/01/2022
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