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1790406213
VAUGHN POWELL
SAINT LOUIS, MO
NPI
1790406213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2022027016)
Enumeration Date
2022-09-05
Last Update Date
2023-08-18
Business Address
VAUGHN POWELL MD
3009 N BALLAS RD STE 100B
SAINT LOUIS, MO 63131-2322
Phone number: 314-432-1111
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Mailing Address
VAUGHN POWELL MD
PO BOX 778969
CHICAGO, IL 60677-0001
Phone number: 314-432-1111
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