Individual
JIL LAYNE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
49 PATRIOT LANE, BEAVER CREEK, MN 56116
(507) 673-2541
Mailing address
510 31ST ST, HILLS, MN 56138-4028
(605) 759-2421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12008261
MN
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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