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1811314180
BRIAN SCOTT LIVINGSTON
LAFAYETTE, IN
NPI
1811314180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IN 01078608A)
Enumeration Date
2014-03-25
Last Update Date
2023-10-20
Business Address
BRIAN SCOTT LIVINGSTON
1701 S CREASY LN
LAFAYETTE, IN 47905-4972
Phone number: 765-502-4917
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Mailing Address
BRIAN SCOTT LIVINGSTON
PO BOX 78838
DETROIT, MI 48278-8838
Phone number: 317-528-4800
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