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Individual

KAMALPREET KAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1114 6TH ST, MODESTO, CA 95354-2203
(209) 576-2845
(209) 576-8842
Mailing address
1910 CUSTOMER CARE WAY, ATWATER, CA 95301-5167
(209) 383-1848

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95027657
CA
363L00000X
Nurse Practitioner
Primary
95008415
CA

Other

Enumeration date
04/11/2018
Last updated
04/11/2018
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