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Individual

DEWAYNE E CAVINESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 MANGROVE AVE, CHICO, CA 95926-3509
(530) 345-0064
(530) 345-0080
Mailing address
251 COHASSET RD, STE 300, CHICO, CA 95926-2235
(530) 345-0064
(530) 345-0080

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A19099
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A190990
CA
Enumeration date
07/06/2006
Last updated
05/24/2016
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