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Individual

WILLIAM H VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3526 VILLAGE DR, FAYETTEVILLE, NC 28304-4554
(910) 423-8600
(910) 484-1333
Mailing address
3526 VILLAGE DR, FAYETTEVILLE, NC 28304-4554
(910) 423-8600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1314
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8909956
NC
Enumeration date
01/25/2006
Last updated
01/13/2017
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