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1013042605
MARY VAUGHN
MARYVILLE, IL
NPI
1013042605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070002317)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- MARY VAUGHN PT
6800 STATE ROUTE 162
MARYVILLE, IL 62062-8500
Phone number: 618-288-5711
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Mailing Address
-- MARY VAUGHN PT
6800 STATE ROUTE 162
MARYVILLE, IL 62062-8500
Phone number: 618-288-5711
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