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Individual

DEVAKAUR HARPREET KHALSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT, DOM

Contact information

Practice address
82 COUNTRY RD 122, ESAPANOLA, NM 87532
(505) 753-7576
(505) 753-7676
Mailing address
82 COUNTRY RD 122, ESAPANOLA, NM 87532
(505) 753-7576
(505) 753-7676

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary

Other

Enumeration date
10/13/2011
Last updated
10/13/2011
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