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Individual
JOSH WELLSTED WELLSTED
Active
Individual
JOSH WELLSTED WELLSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-79665
CA
Other
Enumeration date
10/31/2018
Last updated
06/06/2019
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