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1700488541
TERESA L VAUGHAN
SUTTON, WV
NPI
1700488541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-11-16
Last Update Date
2020-11-16
Business Address
TERESA L VAUGHAN
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
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Mailing Address
TERESA L VAUGHAN
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
Copy
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