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1629664693
MADELEINE VELASCO LATOC
SAN DIEGO, CA
NPI
1629664693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-12-14
Last Update Date
2023-11-13
Business Address
MADELEINE VELASCO LATOC
5755 OBERLIN DR STE 300
SAN DIEGO, CA 92121-4717
Phone number: 800-249-1266
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Mailing Address
MADELEINE VELASCO LATOC
4309 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-876-4502
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