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1063088805
ALYSSA LYN WEAVER
RAPID CITY, SD
NPI
1063088805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 15711)
Enumeration Date
2021-06-02
Last Update Date
2024-10-21
Business Address
ALYSSA LYN WEAVER MD
640 FLORMANN ST
RAPID CITY, SD 57701-4679
Phone number: 605-744-3300
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Mailing Address
ALYSSA LYN WEAVER MD
3703 BROWNING CT
RAPID CITY, SD 57703-8571
Phone number:
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