Individual
MRS. DORINDA LISLE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 WEST CHESTNUT STREET, BROCKTON, MA 02301
(508) 586-9136
Mailing address
80 N TRIANGLE DR, PLYMOUTH, MA 02360-7505
(508) 747-1698
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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