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Individual

WENDY RENEE VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
420 N MORGAN ST, OLNEY, IL 62450-3638
(618) 676-7145
Mailing address
420 N MORGAN ST, OLNEY, IL 62450-3638
(618) 676-7145

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.427652
IL

Other

Enumeration date
07/17/2019
Last updated
07/17/2019
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