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1902397730
MATTHEW A WEAVER
IRONTON, OH
NPI
1902397730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH CDCA.171082)
Enumeration Date
2018-05-29
Last Update Date
2019-07-29
Business Address
MATTHEW A WEAVER CDCA
700 PARK AVE
IRONTON, OH 45638
Phone number: 740-532-1613
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Mailing Address
MATTHEW A WEAVER CDCA
PO BOX 108
IRONTON, OH 45638-0108
Phone number: 740-532-1613
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