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Individual
DENNIS CAVAN MANON-OG
Active
Individual
DENNIS CAVAN MANON-OG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
783185-01
NY
164W00000X
Licensed Practical Nurse
269382
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269382
LICENSE
NY
01
—
783185-01
LICENSE
NY
Enumeration date
08/30/2018
Last updated
04/08/2021
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