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Individual
GURSHARN SINGH SIDHU
Active
Individual
GURSHARN SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADT
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RH0011500923
CA
171M00000X
Case Manager/Care Coordinator
R1322710918
CA
Other
Enumeration date
01/29/2019
Last updated
02/05/2024
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