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1043308158
GENE WAYNE VELASCO
CRYSTAL, MN
NPI
1043308158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 25120)
Enumeration Date
2006-10-11
Last Update Date
2008-05-16
Business Address
Dr. GENE WAYNE VELASCO MD
3501 DOUGLAS DR N
CRYSTAL, MN 55422-2415
Phone number: 763-535-9601
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Mailing Address
Dr. GENE WAYNE VELASCO MD
3501 DOUGLAS DR N
CRYSTAL, MN 55422-2415
Phone number: 763-535-9601
Copy
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