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1205431632
GARY LANE WEITMAN
WACO, TX
NPI
1205431632
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
GARY LANE WEITMAN
4800 MEMORIAL DR
WACO, TX 76711-1329
Phone number: 254-752-6581
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Mailing Address
GARY LANE WEITMAN
4800 MEMORIAL DR
WACO, TX 76711-1329
Phone number: 254-752-6581
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