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Individual

KATHERINE ROSE VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
400 4TH ST NW, FARIBAULT, MN 55021-5089
(507) 384-6830
(651) 431-7757
Mailing address
400 4TH ST NW, FARIBAULT, MN 55021-5089

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13579
MN
1223G0001X
General Practice Dentistry
D13579
MN

Other

Enumeration date
07/02/2015
Last updated
12/16/2025
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