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1245979905
COLETTE AUGUSTINA KAVANAUGH
SACRAMENTO, CA
NPI
1245979905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
(Licence: CA 9736)
Enumeration Date
2022-06-01
Last Update Date
2024-04-30
Business Address
COLETTE AUGUSTINA KAVANAUGH L.E.
1721 EASTERN AVE STE 2
SACRAMENTO, CA 95864-1745
Phone number: 916-838-8240
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Mailing Address
COLETTE AUGUSTINA KAVANAUGH L.E.
3437 MAUREEN DR
SACRAMENTO, CA 95821-3114
Phone number: 916-838-8240
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