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Individual

DAVID HALVERSTADT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1150 GROVE ST, SAN LUIS OBISPO, CA 93401-2914
(805) 544-0414
(805) 541-2729
Mailing address
1150 GROVE ST, SAN LUIS OBISPO, CA 93401-2914
(805) 544-0414
(805) 541-2729

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC17698
CA

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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