GENIE B VAUGHAN

MONTICELLO, MS
NPI1134231541
Former NameGENIE B RUSSELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R776769)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- GENIE B VAUGHAN RN, CFNP
1065 E BROAD ST
MONTICELLO, MS 39654-7703
Phone number: 601-587-4051
Mailing Address
-- GENIE B VAUGHAN RN, CFNP
179 TOM SISTRUNK RD
JAYESS, MS 39641-3781
Phone number: 601-587-2678
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