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1467193953
MARK WEAVER
FAYETTEVILLE, AR
NPI
1467193953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: AR P0203013)
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
MARK WEAVER
1925 N GREEN ACRES RD
FAYETTEVILLE, AR 72703-2617
Phone number: 479-521-1296
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Mailing Address
MARK WEAVER
234 MADISON 7302
FAYETTEVILLE, AR 72703-8445
Phone number: 479-769-0522
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