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1902441785
TYLER VAUGHN
SLIDELL, LA
NPI
1902441785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 010758273)
Enumeration Date
2019-11-15
Last Update Date
2019-11-15
Business Address
TYLER VAUGHN
2053 GAUSE BLVD E STE 150
SLIDELL, LA 70461-5451
Phone number: 985-445-3089
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Mailing Address
TYLER VAUGHN
2160 GRAPE PL
GRETNA, LA 70056-4438
Phone number:
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