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Individual

JOAN JACKSON CAVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
86595 N MODESTO DR, EUGENE, OR 97402-9045
(541) 342-3889
Mailing address
86595 N MODESTO DR, EUGENE, OR 97402-9045
(541) 342-3889

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
00-035563
OR

Other

Enumeration date
04/23/2010
Last updated
04/23/2010
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