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1295831352
KELLY B WEAVER
EVERETT, WA
NPI
1295831352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA 38761)
Enumeration Date
2006-09-16
Last Update Date
2013-03-15
Business Address
-- KELLY B WEAVER MD
1330 ROCKEFELLER AVE
EVERETT, WA 98201-1684
Phone number: 425-339-5476
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Mailing Address
-- KELLY B WEAVER MD
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-258-3903
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