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1487625869
GARY VAUGHAN HALVERSEN
PROVO, UT
NPI
1487625869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 5176697-1205)
Enumeration Date
2006-02-01
Last Update Date
2015-10-09
Business Address
Dr. GARY VAUGHAN HALVERSEN M.D.
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-225-6246
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Mailing Address
Dr. GARY VAUGHAN HALVERSEN M.D.
560W 800 N
OREM, UT 84057-3746
Phone number: 801-225-6424
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