THOMAS BENJAMIN HALVORSON

TACOMA, WA
NPI1710306022
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: WA  ma60457447)
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
Mr. THOMAS BENJAMIN HALVORSON LMP
5609 S LAWRENCE ST
TACOMA, WA 98409-5319
Phone number: 253-380-2685
Mailing Address
Mr. THOMAS BENJAMIN HALVORSON LMP
3933 S 302ND ST
AUBURN, WA 98001-2225
Phone number: 253-380-2685
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