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1740693829
BRUCE WELBORN
MIDLAND, TX
NPI
1740693829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: TX 1200656)
Enumeration Date
2014-06-06
Last Update Date
2014-06-06
Business Address
-- BRUCE WELBORN
2501 W ILLINOIS AVE
MIDLAND, TX 79701-6436
Phone number: 432-203-0201
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Mailing Address
-- BRUCE WELBORN
2501 W ILLINOIS AVE
MIDLAND, TX 79701-6436
Phone number: 432-203-0201
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