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Individual
PETER DANIEL BOURLAND
Active
Individual
PETER DANIEL BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14932
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/20/2020
Last updated
04/10/2025
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