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1578787917
KENNETH VELASQUEZ
COLTON, CA
NPI
1578787917
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA12714)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
KENNETH VELASQUEZ PA-C
400 N PEPPER AVE ORTHOPAEDIC ADMINISTRATION
COLTON, CA 92324-1801
Phone number: 909-580-6330
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Mailing Address
KENNETH VELASQUEZ PA-C
400 N PEPPER AVE ORTHOPAEDIC ADMINISTRATION
COLTON, CA 92324-1801
Phone number: 909-580-6330
Copy
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