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1023119161
MARK ALLEN LIVINGSTON
BRANDON, MS
NPI
1023119161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT1692)
Enumeration Date
2006-09-25
Last Update Date
2016-11-01
Business Address
Mr. MARK ALLEN LIVINGSTON P.T.
1220 N SHORE PKWY SUITE B
BRANDON, MS 39047-6383
Phone number: 601-829-0505
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Mailing Address
Mr. MARK ALLEN LIVINGSTON P.T.
2416 HIGHWAY 45 N
COLUMBUS, MS 39705-1320
Phone number: 662-327-6705
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