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1942071410
WAYNE WEAVER
DAYTON, OH
NPI
1942071410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: OH TY198277)
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
WAYNE WEAVER
119 INDIANOLA AVE
DAYTON, OH 45405-3538
Phone number: 937-718-1610
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Mailing Address
WAYNE WEAVER
119 INDIANOLA AVE
DAYTON, OH 45405-3538
Phone number: 937-718-1610
Copy
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