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Individual

JOSEPH HALLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2751 2ND AVE N STOP 9013, GRAND FORKS, ND 58202-9013
(701) 777-4846
Mailing address
2751 2ND AVE N STOP 9013, GRAND FORKS, ND 58202-9013
(701) 777-4846

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2269
ND

Other

Enumeration date
07/06/2020
Last updated
07/06/2020
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