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1164241923
KRUNAL UPENDRA SHAH
ANAHEIM, CA
NPI
1164241923
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95030867)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
KRUNAL UPENDRA SHAH
1781 S CAMPTON AVE UNIT 312
ANAHEIM, CA 92805-6754
Phone number: 858-603-5905
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Mailing Address
KRUNAL UPENDRA SHAH
1781 S CAMPTON AVE UNIT 312
ANAHEIM, CA 92805-6754
Phone number: 858-603-5905
Copy
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