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1265097794
MISAEL ELY VELAZQUEZ
MADERA, CA
NPI
1265097794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT144128)
Enumeration Date
2019-05-09
Last Update Date
2024-09-06
Business Address
MISAEL ELY VELAZQUEZ
117 N R ST STE 101
MADERA, CA 93637-4465
Phone number: 559-662-0527
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Mailing Address
MISAEL ELY VELAZQUEZ
PO BOX 1288
MADERA, CA 93639-1288
Phone number: 559-598-2983
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