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Individual

RAJ INDER KAUR KHALSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
247 DAVIS CUP DR UNIT 4239, PAGOSA SPRINGS, CO 81147-8217
(505) 927-4360
Mailing address
PO BOX 2979, PAGOSA SPRINGS, CO 81147-2979
(505) 927-4360

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
586474
TX
363LF0000X
Family Nurse Practitioner
Primary
C-APN.0001054-C-NP
CO
363LF0000X
Family Nurse Practitioner
CNP01413
NM

Other

Enumeration date
09/29/2006
Last updated
02/08/2022
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