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1386272144
BRIAN TIMOTHY VELASCO
PHILADELPHIA, PA
NPI
1386272144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-29
Last Update Date
2020-03-29
Business Address
BRIAN TIMOTHY VELASCO
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 800-789-7366
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Mailing Address
BRIAN TIMOTHY VELASCO
49 BROOKSMONT DR
HOLLISTON, MA 01746-1770
Phone number: 484-553-9036
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