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1801315759
LARRY GENE HALYE
HAZLE TOWNSHIP, PA
NPI
1801315759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RTO000437)
Enumeration Date
2017-09-12
Last Update Date
2020-08-03
Business Address
Mr. LARRY GENE HALYE LAT, ATC
1515 W 23RD ST
HAZLE TOWNSHIP, PA 18202-1647
Phone number: 570-459-3221
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Mailing Address
Mr. LARRY GENE HALYE LAT, ATC
200 MOORES HILL RD
BERWICK, PA 18603-6219
Phone number: 570-578-5980
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