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1013903137
PAUL T VAUGHN
RONCEVERTE, WV
NPI
1013903137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01034)
Enumeration Date
2005-09-23
Last Update Date
2022-04-21
Business Address
PAUL T VAUGHN PAC
119 MAPLEWOOD AVE
RONCEVERTE, WV 24970-9737
Phone number: 304-647-5642
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Mailing Address
PAUL T VAUGHN PAC
119 MAPLEWOOD AVE
RONCEVERTE, WV 24970-9737
Phone number: 304-647-5642
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