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Individual

AVERY VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6180 SSR-MM, HOUSE SPRINGS, MO 63051
(636) 671-3382
Mailing address
6180 SSR-MM, HOUSE SPRINGS, MO 63051

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2025033441
MO

Other

Enumeration date
12/11/2025
Last updated
12/11/2025
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