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1194723783
DORA LAVALLE LIVINGSTON
VIRGINIA BEACH, VA
NPI
1194723783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024165138)
Enumeration Date
2005-07-08
Last Update Date
2016-11-23
Business Address
Ms. DORA LAVALLE LIVINGSTON FNP-BC
4040 BRIDLE WAY
VIRGINIA BEACH, VA 23456
Phone number: 757-619-2215
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Mailing Address
Ms. DORA LAVALLE LIVINGSTON FNP-BC
4040 BRIDLE WAY
VIRGINIA BEACH, VA 23456-7125
Phone number: 757-619-2215
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