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1265628499
LARRY JAMES HALL
TRAVERSE CITY, MI
NPI
1265628499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-09-20
Last Update Date
2007-09-20
Business Address
Mr. LARRY JAMES HALL cac-1
1105 6TH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-6215
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Mailing Address
Mr. LARRY JAMES HALL cac-1
1105 6TH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-6215
Copy
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