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Individual

JENNIFER LOUISE VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2800 CLAY EDWARDS DR., ATTN: OUTPATIENT TREATMENT CENTER, N KANSAS CITY, MO 64116
(816) 691-5319
(816) 346-7554
Mailing address
2800 CLAY EDWARDS DR., ATTN: OUTPATIENT TREATMENT CENTER, N KANSAS CITY, MO 64116
(816) 691-5319
(816) 346-7554

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary

Other

Enumeration date
05/16/2023
Last updated
05/16/2023
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