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Individual

JEFFERSON F. LIVERMON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
916 KOALA DR, OMAK, WA 98841-9759
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60495645
WA

Other

Enumeration date
01/24/2006
Last updated
04/30/2019
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