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1629546189
NICK J LIVASY
SAINT LOUIS, MO
NPI
1629546189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2018039727)
Enumeration Date
2018-11-02
Last Update Date
2018-11-02
Business Address
NICK J LIVASY DPT
4020 BUTLER HILL RD
SAINT LOUIS, MO 63129-1500
Phone number: 314-487-6644
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Mailing Address
NICK J LIVASY DPT
14515 N OUTER 40 RD STE 110
CHESTERFIELD, MO 63017-5746
Phone number: 131-443-4868
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