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Individual

MOLLY E VAUGHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 THOMSON DR, LYNCHBURG, VA 24501-1118
(434) 200-5925
Mailing address
72 TROTTER LN, CONCORD, VA 24538-2504
(434) 660-0696

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024180307
VA

Other

Enumeration date
10/06/2020
Last updated
10/06/2020
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