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1053311191
PAUL GERALD WEAVER
SALEM, OR
NPI
1053311191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR D016350)
Enumeration Date
2005-07-29
Last Update Date
2016-04-28
Business Address
-- PAUL GERALD WEAVER DO
1275 WALLACE RD NW
SALEM, OR 97304-3007
Phone number: 503-371-3232
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Mailing Address
-- PAUL GERALD WEAVER DO
1275 WALLACE RD NW
SALEM, OR 97304-3007
Phone number: 503-371-3232
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