Individual
MS. MARY LYNETTE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6160 LAFAYETTE AVE, OMAHA, NE 68132-1236
(402) 553-3034
Mailing address
1010 S. 31ST STREET, OMAHA, NE 68105
(402) 505-8220
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2149
NE
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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