Individual
MIRIAM VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 1/2 E 1ST ST, WATONGA, OK 73772
(580) 623-5992
Mailing address
90690 S 2500 RD, GEARY, OK 73040-9747
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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