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1114930062
GORDON SCOTT WEAVER
CHARLESTON, WV
NPI
1114930062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WV 2677)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Dr. GORDON SCOTT WEAVER DDS
869 OAKWOOD RD
CHARLESTON, WV 25314-2057
Phone number: 304-343-5161
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Mailing Address
Dr. GORDON SCOTT WEAVER DDS
869 OAKWOOD RD
CHARLESTON, WV 25314-2057
Phone number: 304-343-5161
Copy
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