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Individual

JENNIFER REGINA VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
580 BLACKSTONE ALLEY, JACKSONVILLE, OR 97530-9007
(541) 930-2445
(541) 319-8748
Mailing address
2695 ORCHARD HOME DR, MEDFORD, OR 97501-4234
(541) 930-2445
(541) 319-8748

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22543
OR

Other

Enumeration date
08/18/2016
Last updated
12/04/2022
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