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Individual

HOLLY VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3000 MACK RD, FAIRFIELD, OH 45014-5335
(513) 603-8128
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004473
OH

Other

Enumeration date
11/20/2015
Last updated
11/20/2015
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