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1922135235
MARCUS SHANE CAVINESS
COVINA, CA
NPI
1922135235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Mr. MARCUS SHANE CAVINESS
1126 N GRAND AVE #D
COVINA, CA 91724-1551
Phone number: 626-967-1667
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Mailing Address
Mr. MARCUS SHANE CAVINESS
15333 GARFIELD DR 1126 N. GRAND AVE.
FONTANA, CA 92336-4015
Phone number: 909-854-0494
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