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1104323914
CARL P WEAVER
EAST LANSING, MI
NPI
1104323914
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501003354)
Enumeration Date
2018-04-09
Last Update Date
2018-04-11
Business Address
CARL P WEAVER PT
1720 ABBEY RD STE A
EAST LANSING, MI 48823-6363
Phone number: 517-333-6692
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Mailing Address
CARL P WEAVER PT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-1980
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