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Individual
DANIEL E. WELBURN
Active
Individual
DANIEL E. WELBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA20234
CA
363A00000X
Physician Assistant
Primary
PA20234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20234
CA LICENSE - PHYSICIAN ASSISTANT
CA
01
—
RN527054
CA LICENSE - REGISTERED NURSE
CA
Enumeration date
03/19/2009
Last updated
06/07/2019
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