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Individual
MR. JEFFREY DAVID CAVANAUGH
Active
Individual
MR. JEFFREY DAVID CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.C.P.
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF1057
TX
246ZC0007X
Surgical Assistant
166637
CO
Other
Enumeration date
01/19/2012
Last updated
06/16/2016
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