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1083879845
REGINA MICHELLE KAVANAUGH
AUSTIN, TX
NPI
1083879845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2008-07-22
Last Update Date
2008-07-22
Business Address
Ms. REGINA MICHELLE KAVANAUGH LVN
1124 RUTLAND DR
AUSTIN, TX 78758-5831
Phone number: 512-366-2123
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Mailing Address
Ms. REGINA MICHELLE KAVANAUGH LVN
PO BOX 12382
AUSTIN, TX 78711-2382
Phone number: 512-366-2123
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