Individual
JALECIA S VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17273 STATE ROUTE 104 # 538117KT, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
17273 STATE ROUTE 104 # 538117KT, CHILLICOTHE, OH 45601-9718
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1965
MO
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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