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Individual

DONNA RAE VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3610 W 8TH ST, CINCINNATI, OH 45205-2129
(513) 251-4825
Mailing address
1561 REID AVE, CINCINNATI, OH 45224-2150
(513) 541-7748

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN091205
OH

Other

Enumeration date
06/01/2007
Last updated
07/08/2007
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