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1083902654
MYRNA VELAZQUEZ
CLARKSVILLE, IN
NPI
1083902654
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Former Name
MYRNA MONTANEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008817)
Enumeration Date
2011-07-18
Last Update Date
2022-10-20
Business Address
Mrs. MYRNA VELAZQUEZ FNP
101 POTTERS LN
CLARKSVILLE, IN 47129-1017
Phone number: 443-383-9300
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Mailing Address
Mrs. MYRNA VELAZQUEZ FNP
909 RIDGEBROOK RD STE 300
SPARKS, MD 21152-9477
Phone number: 443-383-9300
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