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Individual

GAGANDEEP K KINGRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2725 CAPITOL AVE DEPT 400, SACRAMENTO, CA 95816-6032
(916) 262-9386
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(191) 670-8803

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
751348
CA
363L00000X
Nurse Practitioner
Primary
20753
CA

Other

Enumeration date
07/18/2011
Last updated
07/23/2021
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