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1780320028
KORIN ELISE VAUGHN
CHICAGO, IL
NPI
1780320028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085009238)
Enumeration Date
2022-05-10
Last Update Date
2023-05-08
Business Address
KORIN ELISE VAUGHN
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 312-996-7298
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Mailing Address
KORIN ELISE VAUGHN
148 MANSFIELD AVE APT 18
SHELBY, OH 44875-8624
Phone number: 419-566-8605
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