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Individual

DOLORES LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6403 ROYAL RDG, SAN ANTONIO, TX 78239-1630
(719) 306-9683
Mailing address
6403 ROYAL RDG, SAN ANTONIO, TX 78239-1630
(719) 306-9683

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
241427
TX

Other

Enumeration date
09/20/2013
Last updated
09/20/2013
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