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1093950610
ERVIN LEWIS VAUGHT
FAYETTEVILLE, AR
NPI
1093950610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: AR 2202M)
Enumeration Date
2008-12-10
Last Update Date
2009-04-28
Business Address
Mr. ERVIN LEWIS VAUGHT MSSW
1416 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1914
Phone number: 479-582-7152
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Mailing Address
Mr. ERVIN LEWIS VAUGHT MSSW
1416 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1914
Phone number: 479-582-7152
Copy
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