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1679658538
WAYNE ALLEN BEAVER
GLENDALE, AZ
NPI
1679658538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AZ #978)
Enumeration Date
2006-10-26
Last Update Date
2007-07-08
Business Address
Dr. WAYNE ALLEN BEAVER Ph. D.
LUKE AIR FORCE BASE BLDG 317
GLENDALE, AZ 85309
Phone number: 623-856-7579
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Mailing Address
Dr. WAYNE ALLEN BEAVER Ph. D.
15848 N 10TH ST
PHOENIX, AZ 85022-3143
Phone number: 602-375-2974
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