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1790094811
JESSICA LIVERMORE
MCDONOUGH, GA
NPI
1790094811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA 10090)
Enumeration Date
2010-10-07
Last Update Date
2010-10-07
Business Address
Mrs. JESSICA LIVERMORE PT
1500 PENNSYLVANIA AVE
MCDONOUGH, GA 30253-9112
Phone number: 678-674-1711
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Mailing Address
Mrs. JESSICA LIVERMORE PT
5555 PEACHTREE DUNWOODY RD NE SUITE 225
ATLANTA, GA 30342-1703
Phone number: 404-835-3340
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