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Individual
JAGMOHAN THIARA
Active
Individual
JAGMOHAN THIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21948
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
21948
CA
Other
Enumeration date
03/20/2013
Last updated
04/06/2020
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