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Individual
ST JOHN AUD CAVINS
Active
Individual
ST JOHN AUD CAVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3012865
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61025837
WA
Other
Enumeration date
11/10/2018
Last updated
08/25/2026
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