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1750866810
TIFFANY JOI VAUGHN
WATERTOWN, NY
NPI
1750866810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 343637)
Enumeration Date
2018-09-25
Last Update Date
2018-09-25
Business Address
TIFFANY JOI VAUGHN NP-C
19316 US ROUTE 11 BUILDING IV, SUITE C
WATERTOWN, NY 13601
Phone number: 315-681-4192
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Mailing Address
TIFFANY JOI VAUGHN NP-C
80204A N LEWIS ST
FORT DRUM, NY 13603-4091
Phone number:
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