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Individual

JOSHUA LYNN VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
100 E FERGUSON ST STE 608, TYLER, TX 75702-5756
(903) 705-0070
(903) 405-3932
Mailing address
4106 COLLEGE DR APT 404, LUFKIN, TX 75901-7372
(936) 234-1707

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
213812
TX

Other

Enumeration date
08/03/2018
Last updated
08/03/2018
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