Individual
BRADLEY MICHAEL VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
1845 N HIGHWAY 81, DUNCAN, OK 73533-1413
(580) 252-4888
Mailing address
13402 NE CACHE RD, LAWTON, OK 73507-9757
(580) 581-1018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12227
OK
Other
Enumeration date
02/23/2008
Last updated
02/23/2008
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