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1528281904
THOMAS GRANVILLE LIVESAY
WINCHESTER, VA
NPI
1528281904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401006601)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
Dr. THOMAS GRANVILLE LIVESAY DDS
1805 PLAZA DRIVE
WINCHESTER, VA 22601
Phone number: 540-535-0401
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Mailing Address
Dr. THOMAS GRANVILLE LIVESAY DDS
5576 JACLYN DRIVE
WARRENTON, VA 20187
Phone number: 540-349-5759
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