Individual
JACOB VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2400 CORNWELL DR, YUKON, OK 73099-5804
(405) 354-7449
(405) 354-0833
Mailing address
2400 CORNWELL DR, YUKON, OK 73099-5804
(405) 354-7449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20464
OK
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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