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1013142900
DANIEL K HALLEY
CAPE GIRARDEAU, MO
NPI
1013142900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO 2008000983)
Enumeration Date
2009-05-20
Last Update Date
2009-05-20
Business Address
Mr. DANIEL K HALLEY ATC
3049 WILLIAM STREET SUITE 152
CAPE GIRARDEAU, MO 63701
Phone number: 573-332-1587
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Mailing Address
Mr. DANIEL K HALLEY ATC
3049 WILLIAM STREET SUITE 152
CAPE GIRARDEAU, MO 63701
Phone number: 573-332-1587
Copy
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