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Individual

DANIEL DAVID COURSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, PA-C

Contact information

Practice address
5575 RUFFIN RD STE 100, SAN DIEGO, CA 92123-1361
(858) 277-2744
Mailing address
1713 MARSON ST, OCEANSIDE, CA 92054-2233
(760) 622-7593

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 15531
CA

Other

Enumeration date
09/04/2006
Last updated
07/08/2007
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