Individual
JULIA L VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7847 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3930
(318) 212-3935
Mailing address
7847 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 212-3930
(318) 212-3935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200423
LA
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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