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1245066901
KEVIN VAUGHAN
COLUMBIA, SC
NPI
1245066901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2024-09-10
Last Update Date
2024-09-10
Business Address
KEVIN VAUGHAN
425 SUMMIT TERRACE CT, BLDG 1 STE -A1
COLUMBIA, SC 29229
Phone number: 803-760-6169
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Mailing Address
KEVIN VAUGHAN
400 SHALLOW BROOK DR
COLUMBIA, SC 29223-8114
Phone number:
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