JASON CLIFFORD HALVERSON

BOLIVAR, MO
NPI1396954004
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2004001637)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
Mr. JASON CLIFFORD HALVERSON MA, ATC, CSCS
1600 UNIVERSITY AVE
BOLIVAR, MO 65613-2578
Phone number: 417-328-2070
Mailing Address
Mr. JASON CLIFFORD HALVERSON MA, ATC, CSCS
1305 S VILLAGE LN
BOLIVAR, MO 65613-2793
Phone number: 417-326-4587
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