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1972946507
AUDREY CAROLINE SAMELSON LIVESEY
SILVERDALE, WA
NPI
1972946507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: NE 28115)
Enumeration Date
2013-04-13
Last Update Date
2024-09-30
Business Address
AUDREY CAROLINE SAMELSON LIVESEY MD
2050 BARB ST
SILVERDALE, WA 98315-2050
Phone number: 360-315-4365
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Mailing Address
AUDREY CAROLINE SAMELSON LIVESEY MD
2050 BARB ST
SILVERDALE, WA 98315-2050
Phone number:
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