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Individual

CHASITY VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
114 N GRAND AVE, SUITE 406, OKMULGEE, OK 74447-4013
(918) 650-2391
Mailing address
114 N GRAND AVE, SUITE 406, OKMULGEE, OK 74447-4013
(918) 650-2391

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/24/2007
Last updated
07/08/2007
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  • EDI platform