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1952931966
JESSICA J LIVENGOOD
GREENSBORO, NC
NPI
1952931966
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Former Name
JESSICA L JACKSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-09754)
Enumeration Date
2020-01-17
Last Update Date
2022-09-22
Business Address
JESSICA J LIVENGOOD PA-C
1210 NEW GARDEN RD
GREENSBORO, NC 27410-2721
Phone number: 336-294-6190
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Mailing Address
JESSICA J LIVENGOOD PA-C
1210 NEW GARDEN RD
GREENSBORO, NC 27410-2721
Phone number: 336-268-3129
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