Individual
GAVIN S PAVAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
570 AKOLEA RD, HILO, HI 96720-1511
(808) 961-5166
Mailing address
570 AKOLEA RD, HILO, HI 96720-1511
(808) 961-5166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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