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1114016342
LARRY W. HALVERSON
SPRINGFIELD, MO
NPI
1114016342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R6217)
Enumeration Date
2006-10-12
Last Update Date
2013-01-07
Business Address
Dr. LARRY W. HALVERSON M.D.
1423 N JEFFERSON AVE #B100
SPRINGFIELD, MO 65802-1917
Phone number: 417-269-8825
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Mailing Address
Dr. LARRY W. HALVERSON M.D.
3800 S NATIONAL AVE #540
SPRINGFIELD, MO 65807-5209
Phone number: 417-269-8825
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