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CAREY DIANA VAUGHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1014 MADISON ST, JEFFERSON CITY, MO 65101-3458
(573) 644-6999
(573) 644-7880
Mailing address
1014 MADISON ST, JEFFERSON CITY, MO 65101-3458
(573) 644-6999
(573) 644-7880

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2011022512
MO

Other

Enumeration date
06/25/2012
Last updated
02/11/2016
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