Justin Cavanaugh

NPI #1629846936 in Fort Totten, North Dakota

Provider Information

NPI Number: 1629846936
Entity Type: Individual
Name: Justin Cavanaugh
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Dec 15, 2023
Last Updated: Dec 15, 2023

Practice Location

Address: 7527 EPHRIAM HILL ROAD
City: Fort Totten
State: North Dakota
ZIP Code: 58335
Phone: (701) 766-4285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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