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1922660414
MICHAEL R LIVERGOOD
BELLEVUE, NE
NPI
1922660414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE 068)
Enumeration Date
2019-07-03
Last Update Date
2019-07-03
Business Address
MICHAEL R LIVERGOOD
1000 GALVIN RD S
BELLEVUE, NE 68005-3098
Phone number: 402-557-7057
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Mailing Address
MICHAEL R LIVERGOOD
1000 GALVIN RD S
BELLEVUE, NE 68005-3098
Phone number: 402-557-7057
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