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1497802656
RUSSELL A WEAVER
KANSAS CITY, KS
NPI
1497802656
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KS 11-02412)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- RUSSELL A WEAVER P.T.
8929 PARALLEL PKWY
KANSAS CITY, KS 66112-1689
Phone number: 913-596-4754
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Mailing Address
-- RUSSELL A WEAVER P.T.
16027 W 80TH PL
LENEXA, KS 66219-2015
Phone number: 913-438-2707
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