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1386692770
RUSTY JOE WEAVER
VIENNA, WV
NPI
1386692770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 821 OD)
Enumeration Date
2006-05-05
Last Update Date
2007-07-08
Business Address
Dr. RUSTY JOE WEAVER O.D.
1600 GRAND CENTRAL AVE
VIENNA, WV 26105-1059
Phone number: 304-295-8561
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Mailing Address
Dr. RUSTY JOE WEAVER O.D.
1600 GRAND CENTRAL AVE
VIENNA, WV 26105-1059
Phone number: 304-295-8561
Copy
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