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1578944179
ANDREW T WEAVER
BEMIDJI, MN
NPI
1578944179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D13523)
Enumeration Date
2015-06-09
Last Update Date
2015-06-09
Business Address
Dr. ANDREW T WEAVER D.D.S.
1900 DIVISION ST W UNIT 2
BEMIDJI, MN 56601-6397
Phone number: 218-333-8832
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Mailing Address
Dr. ANDREW T WEAVER D.D.S.
9555 N GRACE LAKE RD SE
BEMIDJI, MN 56601-7383
Phone number: 218-368-3331
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