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1861269110
EKATERINA SUE WEAVER
MISHAWAKA, IN
NPI
1861269110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: IN 28243181A)
Enumeration Date
2023-12-07
Last Update Date
2024-01-26
Business Address
EKATERINA SUE WEAVER NP
60101 BODNAR BLVD STE 100B
MISHAWAKA, IN 46544-9340
Phone number: 574-335-8500
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Mailing Address
EKATERINA SUE WEAVER NP
707 CEDAR ST STE 405
SOUTH BEND, IN 46617-2059
Phone number:
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