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Individual

MR. ADAN VELASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
860 W VALLEY PKWY STE 150, ESCONDIDO, CA 92025-2541
(760) 740-0707
Mailing address
1263 JEFFERSON AVE, ESCONDIDO, CA 92027-1921
(760) 484-3712

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48188
CA

Other

Enumeration date
09/09/2016
Last updated
09/09/2016
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