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Individual
JAVIER CHRISTOPHER BURBOA
Active
Individual
JAVIER CHRISTOPHER BURBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20885
MEDICAL LICENSE
CA
Enumeration date
06/02/2010
Last updated
12/19/2011
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