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Individual

DR. BLAKE RENEE VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP-PMHNP-BC

Contact information

Practice address
415 EAST AVENUE I, LANCASTER, CA 93535-1916
(661) 878-6513
Mailing address
415 EAST AVENUE I, LANCASTER, CA 93535-1916
(661) 522-6770
(661) 723-9079

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN397019
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95014515
CA

Other

Enumeration date
10/03/2007
Last updated
02/17/2021
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