DERRICK LEE VAUGHN

GRAND RAPIDS, MI
NPI1770259459
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2021-08-21
Last Update Date2021-08-21
Business Address
DERRICK LEE VAUGHN
209 DIVISION AVE S APT 107
GRAND RAPIDS, MI 49503-4547
Phone number: 313-974-9107
Mailing Address
DERRICK LEE VAUGHN
922 OGDEN AVE SE
GRAND RAPIDS, MI 49506-3561
Phone number: 313-974-9107
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