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Individual

MRS. CHAROLETTE LUDDEKE VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
400 E LAUREL AVE, FOLEY, AL 36535-2620
(251) 943-6646
(251) 943-4486
Mailing address
8 PORCH PLACE WAY, FAIRHOPE, AL 36532-3009
(251) 990-6493

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-024030
AL
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
1-024030
AL

Other

Enumeration date
08/23/2010
Last updated
08/23/2010
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