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Individual
KANWALROOP BISEN
Active
Individual
KANWALROOP BISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23181
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0043790
—
CA
01
—
ZZZ21572Z
MEDICARE GROUP PTAN
CA
Enumeration date
06/27/2013
Last updated
07/30/2013
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