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1780060319
KEELY E VAUGHAN
MARTIN, TN
NPI
1780060319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TN PA2812)
Enumeration Date
2015-08-05
Last Update Date
2021-05-26
Business Address
KEELY E VAUGHAN PA-C
117 KENNEDY DR
MARTIN, TN 38237-3394
Phone number: 731-587-9511
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Mailing Address
KEELY E VAUGHAN PA-C
117 KENNEDY DR
MARTIN, TN 38237-3309
Phone number: 731-587-9511
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