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1386141083
JORDAN VAUGHAN
KALISPELL, MT
NPI
1386141083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MT MED-PHYS-LIC-112709)
Enumeration Date
2018-04-09
Last Update Date
2024-02-21
Business Address
JORDAN VAUGHAN MD
310 SUNNYVIEW LN
KALISPELL, MT 59901-3129
Phone number: 406-751-5310
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Mailing Address
JORDAN VAUGHAN MD
355 BLUE SPRUCE LN
KALISPELL, MT 59901-6830
Phone number:
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