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1194925537
DIANE B VAUGHN
GULFPORT, MS
NPI
1194925537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MS R621641)
Enumeration Date
2007-07-24
Last Update Date
2010-08-24
Business Address
-- DIANE B VAUGHN GNP
1340 BROAD AVE SUITE 450
GULFPORT, MS 39501-2404
Phone number: 228-865-3202
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Mailing Address
-- DIANE B VAUGHN GNP
PO BOX 555
BILOXI, MS 39533-0555
Phone number: 228-865-3202
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