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1518948447
JOSEPH CHARLES LIVENGOOD
FAIRBANKS, AK
NPI
1518948447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AK MEDS7502)
Additional Taxonomies
208600000X Surgery
(Licence: CO 37815)
Enumeration Date
2005-11-08
Last Update Date
2021-12-01
Business Address
Dr. JOSEPH CHARLES LIVENGOOD M.D.
1650 COWLES ST
FAIRBANKS, AK 99701-5907
Phone number: 907-458-5358
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Mailing Address
Dr. JOSEPH CHARLES LIVENGOOD M.D.
759 HAIDA LN
FAIRBANKS, AK 99712-2925
Phone number: 907-370-2533
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