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1669420006
JEFFREY DOUGLAS WEIR
DEARBORN, MI
NPI
1669420006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-05-05
Last Update Date
2007-07-08
Business Address
-- JEFFREY DOUGLAS WEIR ATC
16200 HUBBARD DR
DEARBORN, MI 48126-4155
Phone number: 313-593-1703
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Mailing Address
-- JEFFREY DOUGLAS WEIR ATC
1418 SUNSET DR
WOLVERINE LAKE, MI 48390-2348
Phone number: 248-668-9321
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