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1821634775
JERMAINE VAUGHN
MERRILLVILLE, IN
NPI
1821634775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-25
Last Update Date
2019-11-25
Business Address
JERMAINE VAUGHN
233 E 84TH DR STE 205
MERRILLVILLE, IN 46410-6399
Phone number: 219-472-2062
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Mailing Address
JERMAINE VAUGHN
10100 ELIDA RD
DELPHOS, OH 45833-9056
Phone number: 419-695-8010
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