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1528075264
RICHARD R. HALVERSON
MARION, IN
NPI
1528075264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- RICHARD R. HALVERSON BA
1700 E 38TH ST
MARION, IN 46953-4568
Phone number: 765-674-3321
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Mailing Address
-- RICHARD R. HALVERSON BA
1924 W THERLOW DR
MARION, IN 46952-2306
Phone number:
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