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1487654729
MARY WEAVER
COCOA BEACH, FL
NPI
1487654729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: FL arnp31462342)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
-- MARY WEAVER ARNP
701 W COCOA BEACH CSWY
COCOA BEACH, FL 32931-3585
Phone number: 321-868-7641
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Mailing Address
-- MARY WEAVER ARNP
PO BOX 561600
ROCKLEDGE, FL 32956-1600
Phone number: 321-868-7641
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