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1003635517
THEA CAROLYN KAVANAUGH
LAS CRUCES, NM
NPI
1003635517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Additional Taxonomies
174H00000X Health Educator
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
Mrs. THEA CAROLYN KAVANAUGH
4527 GALISTEO LOOP
LAS CRUCES, NM 88011-4301
Phone number: 575-635-9013
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Mailing Address
Mrs. THEA CAROLYN KAVANAUGH
4527 GALISTEO LOOP
LAS CRUCES, NM 88011-4301
Phone number: 575-635-9013
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