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1356162226
KATRINA ANN CAVANAUGH
PONDERAY, ID
NPI
1356162226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID 2861171)
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
KATRINA ANN CAVANAUGH APRN-CNP, RN
188 BIRCH AVE
PONDERAY, ID 83852-7007
Phone number: 208-597-2508
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Mailing Address
KATRINA ANN CAVANAUGH APRN-CNP, RN
188 BIRCH AVE
PONDERAY, ID 83852-7007
Phone number: 208-597-2508
Copy
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