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1427193267
MARK D. LIVADITIS
SPRINGFIELD, VA
NPI
1427193267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618000747)
Enumeration Date
2007-02-20
Last Update Date
2009-10-16
Business Address
DR. MARK D. LIVADITIS O.D.
5250 PORT ROYAL RD # G
SPRINGFIELD, VA 22151-2117
Phone number: 703-321-7780
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Mailing Address
DR. MARK D. LIVADITIS O.D.
5250 PORT ROYAL RD # G
SPRINGFIELD, VA 22151-2117
Phone number: 703-321-7780
Copy
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