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Individual

COLLIN HUGH VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
30 THE SHOPS AT MISSION VIEJO, MISSION VIEJO, CA 92691-6527
(949) 364-4010
(949) 364-4001
Mailing address
1006 VIEW DR, RICHMOND, CA 94803-1250
(510) 435-1630

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12990T
CA

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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