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1720149941
BRUCE DAVID WEAVER
PHOENIX, AZ
NPI
1720149941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MD TA0932)
Enumeration Date
2006-12-12
Last Update Date
2019-04-17
Business Address
Dr. BRUCE DAVID WEAVER O.D.
4212 N 16TH ST
PHOENIX, AZ 85016
Phone number: 602-263-1200
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Mailing Address
Dr. BRUCE DAVID WEAVER O.D.
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1200
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