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1730220500
BRANDON MICHAEL WEAVER
FULTON, NY
NPI
1730220500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 008798-1)
Enumeration Date
2007-02-12
Last Update Date
2023-03-29
Business Address
BRANDON MICHAEL WEAVER PA
510 S 4TH ST STE 140
FULTON, NY 13069-2952
Phone number: 315-592-3930
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Mailing Address
BRANDON MICHAEL WEAVER PA
110 W 6TH ST
OSWEGO, NY 13126-2507
Phone number: 315-349-5511
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