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Alisa Vaughn
Other Technician in Belleville, Illinois
NPI 1093297400

Alisa Vaughn is a Other Technician based in Belleville, IL. Alisa Vaughn practices in Belleville, IL. The NPI Number for Alisa Vaughn is 1093297400 and holds a License No. 012.008627 (Illinois).

The current practice location address for Alisa Vaughn is 9601 W Main St, Belleville, IL and can be reached out via phone at 618-917-2251. You can also correspond with Alisa Vaughn through the mailing address at 9601 W MAIN ST, BELLEVILLE, IL - 62223-1415 (mailing address contact number: 618-917-2251).

Location: 9601 W Main St, Belleville, IL, 62223-1415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093297400
Provider Name
Alisa Vaughn
Credential
Provider Entity Type
Individual
Gender
Female
Address
9601 W Main St, Belleville, IL, 62223-1415
Phone Number
618-917-2251
Fax Number
Provider Enumeration Date
08/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9601 W Main St
City
Belleville
State
Illinois
Zip
62223-1415
Phone Number
618-917-2251
Fax Number
person
Provider Business Mailing Address Details
Address
9601 W Main St
City
Belleville
State
Illinois
Zip
62223-1415
Phone Number
618-917-2251
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
012.008627 (Illinois)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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