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1487711719
MARY KAIA HALVERSON-DURALL
STEVENS POINT, WI
NPI
1487711719
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Former Name
MARY KAIA HALVERSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 995-023)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- MARY KAIA HALVERSON-DURALL PA-C
910 FREMONT ST UWSP HEALTH SERVICE
STEVENS POINT, WI 54481-3105
Phone number: 715-346-4646
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Mailing Address
-- MARY KAIA HALVERSON-DURALL PA-C
1950 ASHFORD DR
PLOVER, WI 54467-3050
Phone number: 715-252-6999
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