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Alisa Vaughn
NPI 1093297400 · on the registry since 2018 · sole proprietor
Practice
- Address
- 9601 W Main St
Belleville, IL 62223 - Phone
- (618) 917-2251
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois