JAKE CAVENAUGH

TIFTON, GA
NPI1730508664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2014-04-08
Last Update Date2014-04-08
Business Address
-- JAKE CAVENAUGH
15 SALEM CHURCH RD
TIFTON, GA 31793-6754
Phone number: 229-392-0558
Mailing Address
-- JAKE CAVENAUGH
15 SALEM CHURCH RD
TIFTON, GA 31793-6754
Phone number: 229-392-0558
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