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1306603055
BAILEY SHANNON VAUGHN
SAINT LOUIS, MO
NPI
1306603055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2024007399)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
Mr. BAILEY SHANNON VAUGHN PA-C
9556 MANCHESTER RD
SAINT LOUIS, MO 63119-1313
Phone number: 314-373-5740
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Mailing Address
Mr. BAILEY SHANNON VAUGHN PA-C
7408 BRUNSWICK AVE
SAINT LOUIS, MO 63119-3331
Phone number: 573-614-2810
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