Individual
COREY JAMES LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 AVENUE X, SCOTTSBLUFF, NE 69361
(308) 631-8051
Mailing address
1520 AVENUE X, SCOTTSBLUFF, NE 69361
(308) 631-8051
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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