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Individual

GURPREET K BAJWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
26613 MARBURY ESTATES DR, CHANTILLY, VA 20152-6420
(703) 200-1015
Mailing address
26613 MARBURY ESTATES DR, CHANTILLY, VA 20152-6420
(703) 200-1015

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024184168
VA

Other

Enumeration date
11/30/2022
Last updated
11/30/2022
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