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1790918712
JONATHAN W VAUGHN
JACKSON, MS
NPI
1790918712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS r872243)
Enumeration Date
2009-08-25
Last Update Date
2015-12-29
Business Address
Mr. JONATHAN W VAUGHN CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6441
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Mailing Address
Mr. JONATHAN W VAUGHN CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6441
Copy
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