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1598587628
LEELLEN MARIE VELASCO
TALLAHASSEE, FL
NPI
1598587628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: FL 13721)
Enumeration Date
2024-10-29
Last Update Date
2024-10-29
Business Address
LEELLEN MARIE VELASCO RD
2350 PHILLIPS RD
TALLAHASSEE, FL 32308-5346
Phone number: 636-524-2661
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Mailing Address
LEELLEN MARIE VELASCO RD
2350 PHILLIPS RD APT 9310
TALLAHASSEE, FL 32308-5455
Phone number: 636-524-2661
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