Individual
VICTOR LESLIE VAUGHN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3214 PROSPECT AVE E, CLEVELAND, OH 44115-2614
(216) 910-9015
Mailing address
11841 LAKE AVE APT 18, LAKEWOOD, OH 44107-1802
(440) 454-4379
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002286
OH
Other
Enumeration date
04/15/2019
Last updated
10/30/2025
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