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1902387970
MICHAEL JAMES O'HALLORAN
COLUMBIA, MO
NPI
1902387970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MO 2018029738)
Enumeration Date
2018-08-27
Last Update Date
2018-08-27
Business Address
MICHAEL JAMES O'HALLORAN LD
25 CONLEY RD
COLUMBIA, MO 65201-6477
Phone number: 573-442-7703
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Mailing Address
MICHAEL JAMES O'HALLORAN LD
54 BROADWAY VILLAGE DR APT D
COLUMBIA, MO 65201-2107
Phone number: 815-671-0622
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