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Individual

MR. VAUGHN CHESTERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 658-1116
Mailing address
1400 E 12 MILE RD, MADISON HEIGHTS, MI 48071-2651
(248) 658-1116

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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