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Individual

CLINTON VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1210 MOHAWK BLVD, SPRINGFIELD, OR 97477-3349
(541) 747-3841
Mailing address
1210 MOHAWK BLVD, SPRINGFIELD, OR 97477-3349
(541) 747-3841
(541) 747-3896

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019808
OR

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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