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Individual

KYLER VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1501 W KINGSHIGHWAY, PARAGOULD, AR 72450-4010
(870) 240-8405
Mailing address
104 CREEKWOOD DR, SEARCY, AR 72143-8443
(501) 593-1344

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PN06586
AR

Other

Enumeration date
11/22/2020
Last updated
11/22/2020
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