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Individual

MANMEET KAUR CHAHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9128 N 64TH PL, PARADISE VALLEY, AZ 85253-1841
(602) 920-3318
Mailing address
11603 W CALAVAR RD, EL MIRAGE, AZ 85335-5097
(623) 760-8928

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN191797
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN191797
ARIZONA STATE BOARD OF NURSING
AZ
Enumeration date
04/18/2022
Last updated
04/18/2022
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