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1720616667
FORTINO VELASCO
ATLANTA, GA
NPI
1720616667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-27
Last Update Date
2024-06-06
Business Address
Dr. FORTINO VELASCO MD
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329-2206
Phone number: 404-778-8738
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Mailing Address
Dr. FORTINO VELASCO MD
12 EXECUTIVE PARK DR NE
ATLANTA, GA 30329-2206
Phone number: 210-693-2077
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