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1962902411
MISTY LIVELY
SAN ANTONIO, TX
NPI
1962902411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 303561)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
MISTY LIVELY
8318 JONES MALTSBERGER RD STE 121
SAN ANTONIO, TX 78216-6552
Phone number: 210-348-7529
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Mailing Address
MISTY LIVELY
8318 JONES MALTSBERGER RD STE 121
SAN ANTONIO, TX 78216-6552
Phone number: 210-348-7529
Copy
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