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1730667189
MINDY LEE LIVINGSTON
TYLER, TX
NPI
1730667189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2027563)
Enumeration Date
2018-07-29
Last Update Date
2018-07-29
Business Address
Mrs. MINDY LEE LIVINGSTON PTA
16499 KINGSTON CT
TYLER, TX 75703-7333
Phone number: 903-570-6372
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Mailing Address
Mrs. MINDY LEE LIVINGSTON PTA
16499 KINGSTON CT
TYLER, TX 75703-7333
Phone number: 903-570-6372
Copy
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