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1013138239
MATTHEW MICHAEL VELASQUEZ
CARSON, CA
NPI
1013138239
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Professional Name
MATTHEW MICHAEL VELASQUEZ
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. MATTHEW MICHAEL VELASQUEZ
20710 LEAPWOOD AVE STE. C
CARSON, CA 90746-3642
Phone number: 310-324-0447
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Mailing Address
Dr. MATTHEW MICHAEL VELASQUEZ
25400 OAK ST APT. #4
LOMITA, CA 90717-2262
Phone number: 310-766-7931
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