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1336658053
DANA MICHELLE CAVINESS
TAHLEQUAH, OK
NPI
1336658053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK R0089787)
Enumeration Date
2017-09-26
Last Update Date
2017-09-26
Business Address
DANA MICHELLE CAVINESS APRN-CNP
1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324
Phone number: 918-456-0641
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Mailing Address
DANA MICHELLE CAVINESS APRN-CNP
PO BOX 699
PARK HILL, OK 74451-0699
Phone number: 918-774-8220
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