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1710123765
JOHN DALE LIVINGSTONE
PROVO, UT
NPI
1710123765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: UT 4923696-2501)
Enumeration Date
2008-12-22
Last Update Date
2008-12-22
Business Address
Dr. JOHN DALE LIVINGSTONE Ph.D.
1355 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
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Mailing Address
Dr. JOHN DALE LIVINGSTONE Ph.D.
1355 N UNIVERSITY AVE SUITE 200
PROVO, UT 84604-2721
Phone number: 801-221-0223
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