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1124607031
JACOB WALKER VAUGHT
GREENVILLE, NC
NPI
1124607031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-07
Last Update Date
2021-04-12
Business Address
DR. JACOB WALKER VAUGHT DO
517 MOYE BLVD FL 2
GREENVILLE, NC 27834-2849
Phone number: 252-744-0750
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Mailing Address
DR. JACOB WALKER VAUGHT DO
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-744-0750
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