JEREMY VAUGHN

TEXARKANA, AR
NPI1144525783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-01-12
Last Update Date2011-01-12
Business Address
JEREMY VAUGHN MHPP
701 ARKANSAS BLVD
TEXARKANA, AR 71854-2105
Phone number: 870-772-5028
Mailing Address
JEREMY VAUGHN MHPP
3352 N FUTRALL DR
FAYETTEVILLE, AR 72703-4057
Phone number: 479-521-5868