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1750669776
WILLIAM HALYBURTON SUITS
GREEN BAY, WI
NPI
1750669776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015633)
Enumeration Date
2011-07-25
Last Update Date
2014-12-10
Business Address
-- WILLIAM HALYBURTON SUITS DPT
1630 COMMANCHE AVE
GREEN BAY, WI 54313-5753
Phone number: 920-430-4700
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Mailing Address
-- WILLIAM HALYBURTON SUITS DPT
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7210
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