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Organization

KLEARMIND APMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANJOT DHANOA (VP)
(916) 900-6686
Entity
Organization

Contact information

Practice address
1249 PLEASANT GROVE BLVD STE 100, ROSEVILLE, CA 95678-6977
(916) 900-6686
Mailing address
1249 PLEASANT GROVE BLVD STE 100, ROSEVILLE, CA 95678-6977
(916) 900-6686

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1295924215
CA
05
1932198272
CA
Enumeration date
02/03/2023
Last updated
02/03/2023
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