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Individual

MRS. RITA K VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5650
(701) 857-5031
Mailing address
PO BOX 5020, MINOT, ND 58702-5020
(701) 857-5650
(701) 857-5031

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R18522
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12672
ND
Enumeration date
11/21/2006
Last updated
05/15/2013
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