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Individual

HAROLD TODD VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
374 E. GRAND AVE., SIUC STUDENT HEALTH CENTER, CARBONDALE, IL 62901
(618) 453-1292
(618) 453-4290
Mailing address
374 E. GRAND AVE., SIUC STUDENT HEALTH CENTER, CARBONDALE, IL 62901
(618) 453-1292
(618) 453-4290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IL

Other

Enumeration date
02/27/2007
Last updated
07/08/2007
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