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1043585128
KEVIN WEAVER
PORTLAND, OR
NPI
1043585128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041S0200X Social Worker, School
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
Mr. KEVIN WEAVER
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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Mailing Address
Mr. KEVIN WEAVER
3415 SE POWELL BLVD 97202
PORTLAND, OR 97202-3371
Phone number:
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