CHARLES WADE WEAVER

MIDDLEVILLE, MI
NPI1316453384
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence:   2000008006)
Enumeration Date2017-12-28
Last Update Date2017-12-28
Business Address
CHARLES WADE WEAVER ATC, AT, LAT
11399 DAVIS RD
MIDDLEVILLE, MI 49333-8652
Phone number: 936-443-6289
Mailing Address
CHARLES WADE WEAVER ATC, AT, LAT
11399 DAVIS RD
MIDDLEVILLE, MI 49333-8652
Phone number:
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