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1598984379
PAT KAVANAUGH
SANTA ROSA, CA
NPI
1598984379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA V097457)
Enumeration Date
2007-04-24
Last Update Date
2014-07-15
Business Address
-- PAT KAVANAUGH
3420 CHANATE RD
SANTA ROSA, CA 95404-1710
Phone number: 707-565-4822
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Mailing Address
-- PAT KAVANAUGH
3420 CHANATE RD
SANTA ROSA, CA 95404-1710
Phone number:
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