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1629005681
JAN STEPHEN CAVANAUGH
WILMINGTON, DE
NPI
1629005681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: DE B1-0000713)
Enumeration Date
2006-06-27
Last Update Date
2007-07-08
Business Address
Dr. JAN STEPHEN CAVANAUGH PhD
840 S BROOM ST
WILMINGTON, DE 19805-4245
Phone number: 800-819-1655
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Mailing Address
Dr. JAN STEPHEN CAVANAUGH PhD
4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123-1680
Phone number: 800-257-8715
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