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DR. BRANDON REED LIVINGOOD DC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1639303993

Individual Registrant:
DR. BRANDON REED LIVINGOOD DC
Gender: M
Sole Proprietor

Location and contact information for practice:
18025 CALLE AMBIENTE SUITE 204 RANCHO SANTA FE, CA 92067 US
Tel: 858-367-8660  Fax: 858-367-8966

Contact information for business:
1720 JET STREAM DR SUITE 115 COLORADO SPRINGS, CO 80921-3938 US
Tel: 719-867-3007  Fax: 719-867-3000

Registration Information:
NPI: 1639303993
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N111N00000XChiropractic Providers
Chiropractor
CA33936
Y111N00000XChiropractic Providers
Chiropractor
CO6324

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CALIFORNIA CHIROPRACTIC LICENSE33936CA01




HEALTH CARE JOBS CA - Page 1



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