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1811475874
MARK HALVORSEN
VIRGINIA BEACH, VA
NPI
1811475874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305212181)
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
MARK HALVORSEN PT, DPT
4668 PEMBROKE BLVD STE 115
VIRGINIA BEACH, VA 23455-6423
Phone number: 577-648-8562
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Mailing Address
MARK HALVORSEN PT, DPT
4668 PEMBROKE BLVD STE 115
VIRGINIA BEACH, VA 23455-6423
Phone number: 577-648-8562
Copy
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