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1578308011
GAVYN SHEA DIVINEY
LONGVIEW, TX
NPI
1578308011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX 1167763)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
GAVYN SHEA DIVINEY FNP-C
115 E HAWKINS PKWY APT 1022
LONGVIEW, TX 75605-3610
Phone number: 903-932-0636
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Mailing Address
GAVYN SHEA DIVINEY FNP-C
115 E HAWKINS PKWY APT 1022
LONGVIEW, TX 75605-3610
Phone number: 903-932-0636
Copy
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