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1346894789
JEREME T. VAUGHAN
FAIRBANKS, AK
NPI
1346894789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: UT 223411893)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
JEREME T. VAUGHAN
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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Mailing Address
JEREME T. VAUGHAN
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
Copy
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