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1134570864
RAVINDAR KAUR
MODESTO, CA
NPI
1134570864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004158)
Enumeration Date
2016-06-23
Last Update Date
2018-03-17
Business Address
RAVINDAR KAUR FNP
1717 LAS VEGAS ST
MODESTO, CA 95358-5500
Phone number: 209-576-4200
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Mailing Address
RAVINDAR KAUR FNP
1910 CUSTOMER CARE WAY
ATWATER, CA 95301-5167
Phone number: 209-384-6488
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