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1134674997
MAMIE WEAVER
MILWAUKIE, OR
NPI
1134674997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IA 000996)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- MAMIE WEAVER
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5140
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Mailing Address
-- MAMIE WEAVER
417 8TH ST NW
MOUNT VERNON, IA 52314-1145
Phone number: 319-721-5945
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