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1669727160
JOHN WEAVER
LEBANON, OR
NPI
1669727160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-07-20
Last Update Date
2012-07-20
Business Address
-- JOHN WEAVER
100 MULLINS DR SUITE A-1
LEBANON, OR 97355-3982
Phone number: 541-451-6920
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Mailing Address
-- JOHN WEAVER
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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