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1346718293
CLARISSA VAUGHN
PHOENIX, AZ
NPI
1346718293
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ I013052)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
CLARISSA VAUGHN
9201 W THOMAS RD
PHOENIX, AZ 85037-3332
Phone number:
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Mailing Address
CLARISSA VAUGHN
11626 SWEET PEA RUN
SAN ANTONIO, TX 78245-2462
Phone number: 602-384-4081
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