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1003068727
KIMARA VAUGHN
PHOENIX, AZ
NPI
1003068727
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ AP3147)
Enumeration Date
2008-10-13
Last Update Date
2016-03-08
Business Address
MISS KIMARA VAUGHN APRN-BC
2770 E VAN BUREN ST
PHOENIX, AZ 85008-6088
Phone number: 602-273-9999
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Mailing Address
MISS KIMARA VAUGHN APRN-BC
4045 E BELL RD SUITE 111
PHOENIX, AZ 85032-2236
Phone number: 602-606-2658
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