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GURPREET KAUR BHULLAR PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1891119020

Individual Registrant:
 GURPREET KAUR BHULLAR PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2516 E WHITMORE AVE  CERES, CA 95307-2645 US
Tel: 209-538-1733  Fax: --

Contact information for business:
600 COFFEE RD  MODESTO, CA 95355-4201 US
Tel: (20-9) -521-6097  Fax: --

Registration Information:
NPI: 1891119020
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NY017355
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CA53880

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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