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1306475066
JACOB EDWARD VAUGHN
SYRACUSE, NY
NPI
1306475066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-05
Last Update Date
2020-04-05
Business Address
JACOB EDWARD VAUGHN MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-1800
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Mailing Address
JACOB EDWARD VAUGHN MD
1622 RIVER RD
MAUMEE, OH 43537-3508
Phone number:
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