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1104451392
JOSE VELASQUEZ
COLUMBUS, OH
NPI
1104451392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA172950)
Enumeration Date
2020-03-08
Last Update Date
2020-03-08
Business Address
JOSE VELASQUEZ
200 E CAMPUS VIEW BLVD STE 200
COLUMBUS, OH 43235-4678
Phone number: 614-368-6311
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Mailing Address
JOSE VELASQUEZ
200 E CAMPUS VIEW BLVD STE 200
COLUMBUS, OH 43235-4678
Phone number: 614-368-6311
Copy
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