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1841633187
JUSTIN DAVID HALLOCK
DECATUR, AL
NPI
1841633187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: AL 38103)
Enumeration Date
2013-04-16
Last Update Date
2019-08-06
Business Address
JUSTIN DAVID HALLOCK
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number: 256-350-0362
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Mailing Address
JUSTIN DAVID HALLOCK
1103 16TH AVE SE
DECATUR, AL 35601-3595
Phone number: 256-350-0362
Copy
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