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1376632893
JOHN R WEAVER
WAUKESHA, WI
NPI
1376632893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: WI 1969057)
Enumeration Date
2006-10-12
Last Update Date
2007-07-08
Business Address
-- JOHN R WEAVER PsyD
2717 N GRANDVIEW BLVD #303
WAUKESHA, WI 53188
Phone number: 262-544-6486
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Mailing Address
-- JOHN R WEAVER PsyD
525W26295 MACARTHUR RD
WAUKESHA, WI 53188
Phone number: 262-542-0163
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