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1306005897
JEFFREY LEE WEAVER
BALTIMORE, MD
NPI
1306005897
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C03641)
Enumeration Date
2008-06-09
Last Update Date
2010-07-15
Business Address
Mr. JEFFREY LEE WEAVER PA-C, MMS
725 W LOMBARD ST SUITE 163 B
BALTIMORE, MD 21201-1009
Phone number: 410-706-2125
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Mailing Address
Mr. JEFFREY LEE WEAVER PA-C, MMS
PO BOX 64442
BALTIMORE, MD 21264-4442
Phone number: 410-706-2125
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