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1194791020
REN R HALVERSON
BRUNSWICK, GA
NPI
1194791020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIR001742)
Enumeration Date
2006-02-28
Last Update Date
2012-10-24
Business Address
Dr. REN R HALVERSON D.C. P.C.
3366 CYPRESS MILL RD.
BRUNSWICK, GA 31520-4712
Phone number: 912-262-9735
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Mailing Address
Dr. REN R HALVERSON D.C. P.C.
3366 CYPRESS MILL RD.
BRUNSWICK, GA 31520-4712
Phone number: 912-262-9735
Copy
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