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1417444969
EBONI VAUGHN
NAPERVILLE, IL
NPI
1417444969
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Former Name
EBONI SIMMONS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209017491)
Enumeration Date
2018-04-20
Last Update Date
2018-06-19
Business Address
EBONI VAUGHN FNP
63 W 87TH ST
NAPERVILLE, IL 60565
Phone number: 630-778-7645
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Mailing Address
EBONI VAUGHN FNP
5309 IMPERIAL DR
RICHTON PARK, IL 60471-1557
Phone number: 708-297-7325
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