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1679343420
LACEY VAUGHN
THE DALLES, OR
NPI
1679343420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: OR THW000110057)
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
LACEY VAUGHN CHW
1700 E 19TH ST
THE DALLES, OR 97058-3317
Phone number: 541-506-5731
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Mailing Address
LACEY VAUGHN CHW
2109 N COLUMBUS AVE
GOLDENDALE, WA 98620-3327
Phone number: 509-250-0226
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