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Individual

GAGANDEEP SINGH NIRWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10931 TRAMORE LN, STOCKTON, CA 95209-4259
(209) 601-2176
Mailing address
10931 TRAMORE LN, STOCKTON, CA 95209-4259
(209) 601-2176

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95137137
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002570
CA

Other

Enumeration date
01/10/2024
Last updated
03/05/2025
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