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1225595382
TIMOTHY MASON WEAVER
SEARCY, AR
NPI
1225595382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-02-25
Last Update Date
2019-02-25
Business Address
TIMOTHY MASON WEAVER
915 E MARKET AVE
SEARCY, AR 72149-5615
Phone number: 501-278-6825
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Mailing Address
TIMOTHY MASON WEAVER
807 W CENTER AVE
SEARCY, AR 72143-5237
Phone number: 501-278-6825
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