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1699048231
DOUG WEAVER
OGDEN, UT
NPI
1699048231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: UT 342872-6006)
Enumeration Date
2012-02-13
Last Update Date
2012-02-13
Business Address
DOUG WEAVER
1140 36TH ST STE 270
OGDEN, UT 84403-2064
Phone number: 801-389-6696
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Mailing Address
DOUG WEAVER
1140 36TH ST STE 270
OGDEN, UT 84403-2064
Phone number:
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