Individual
MS. CATHY SUE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
(573) 785-4104
Mailing address
101 S MAIN ST, POPLAR BLUFF, MO 63901-5843
(573) 686-5090
(573) 785-4104
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043161
MO
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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