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Individual

EDUARDO VELAZCO-HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2058
Mailing address
505 ILLINOIS AVE UNIT 15, SALIDA, CO 81201-2722
(620) 805-4150

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/08/2020
Last updated
04/08/2020
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