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1992990238
WALLISA T. VAUGHN
ROANOKE, VA
NPI
1992990238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101255299)
Enumeration Date
2007-09-10
Last Update Date
2023-03-14
Business Address
WALLISA T. VAUGHN M.D.
5060 VALLEY VIEW BLVD NW
ROANOKE, VA 24012-2038
Phone number: 540-278-1051
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Mailing Address
WALLISA T. VAUGHN M.D.
5060 VALLEY VIEW BLVD NW
ROANOKE, VA 24012-2038
Phone number: 540-278-1051
Copy
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