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1467835074
WILLIAM SHANE VAUGHN
MELBOURNE, FL
NPI
1467835074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL 22193)
Additional Taxonomies
122300000X Dentist
(Licence: KY 9626)
Enumeration Date
2015-06-30
Last Update Date
2016-09-02
Business Address
Dr. WILLIAM SHANE VAUGHN D.M.D.
2113 SARNO RD
MELBOURNE, FL 32935
Phone number: 321-259-9429
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Mailing Address
Dr. WILLIAM SHANE VAUGHN D.M.D.
2113 SARNO RD
MELBOURNE, FL 32935
Phone number: 321-259-9429
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