Individual
MAURA A GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4110 WARRENSVILLE CENTER RD, BEACHWOOD, OH 44122-7024
(216) 491-6000
Mailing address
PO BOX 74647, CLEVELAND, OH 44194-0730
(440) 879-0081
(440) 879-0084
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001272
OH
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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