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1629553870
JESSICA KAVANAUGH
WASHINGTON, IN
NPI
1629553870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 28209245A)
Enumeration Date
2018-10-03
Last Update Date
2023-01-20
Business Address
JESSICA KAVANAUGH NP
102 E VAN TREES ST
WASHINGTON, IN 47501-2943
Phone number: 812-617-6005
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Mailing Address
JESSICA KAVANAUGH NP
102 E VAN TREES ST
WASHINGTON, IN 47501-2943
Phone number: 812-617-6005
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