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Individual
GAVIN MICHAEL VAUGHN
Active
Individual
GAVIN MICHAEL VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
37356
SC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
37356
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TL37356
MEDICAL LICENSE
SC
Enumeration date
09/01/2006
Last updated
11/06/2014
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