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Individual

DR. DANIEL JASON BEBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
DR.0058073
CO
2084P0800X
Psychiatry Physician
Primary
35.096046
OH

Other

Enumeration date
05/02/2007
Last updated
03/15/2023
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