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Individual

STEVEN C VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPH

Contact information

Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5706
(580) 379-5709
Mailing address
42494 E COUNTY ROAD 1510, BLAIR, OK 73526-5010
(580) 563-2527
(580) 379-5709

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10525
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10525
STATE BOARD OF PHARMACY
OK
Enumeration date
11/25/2005
Last updated
05/07/2012
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