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Derrick Vaughn
NPI 1770259459 · on the registry since 2021 · sole proprietor
Practice
- Address
- 209 Division Ave S Apt 107
Grand Rapids, MI 49503 - Phone
- (313) 974-9107
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Male
- Record last updated
- 2021-08-21
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 Michigan