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1720537822
JAIME VAUGHN SHULLICK
LANCASTER, CA
NPI
1720537822
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Former Name
JAIME LEE VAUGHN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 43070)
Enumeration Date
2016-09-29
Last Update Date
2016-09-29
Business Address
-- JAIME VAUGHN SHULLICK
412 W AVENUE J
LANCASTER, CA 93534-3685
Phone number: 661-945-0884
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Mailing Address
-- JAIME VAUGHN SHULLICK
618 N KNIGHT DR
EDWARDS, CA 93523-2735
Phone number:
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