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1346917960
WILLIAM LARSEN VAUGHN
MACON, GA
NPI
1346917960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-08-23
Last Update Date
2021-08-23
Business Address
WILLIAM LARSEN VAUGHN
1550 COLLEGE ST
MACON, GA 31207-1500
Phone number: 478-301-2600
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Mailing Address
WILLIAM LARSEN VAUGHN
3990 RIVERSIDE PARK BLVD APT 1201
MACON, GA 31210-1235
Phone number: 478-297-1271
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