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1922586361
COREY R WEAVER
DES MOINES, IA
NPI
1922586361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IA G104242)
Enumeration Date
2018-07-28
Last Update Date
2018-07-28
Business Address
Mr. COREY R WEAVER ARNP
1801 HICKMAN RD
DES MOINES, IA 50314-1597
Phone number: 515-282-2200
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Mailing Address
Mr. COREY R WEAVER ARNP
15204 BROOKVIEW DR
URBANDALE, IA 50323-2530
Phone number: 515-669-2746
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