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1780995399
BRIAN WELLS
HURLBURT FIELD, FL
NPI
1780995399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: 1092363)
Enumeration Date
2010-06-29
Last Update Date
2024-05-02
Business Address
Mr. BRIAN WELLS
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 508-815-7248
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Mailing Address
Mr. BRIAN WELLS
113 LIELMANIS AVE
HURLBURT FIELD, FL 32544-5613
Phone number: 850-881-5724
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