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Individual
EMMA UEBELE
Active
Individual
EMMA UEBELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110007805
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-007805
VIRGINIA PHYSICIAN ASSISTANT LICENSE
VA
Enumeration date
11/28/2018
Last updated
10/15/2024
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