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1992482657
LANITTA JANE WEAVER
CANON CITY, CO
NPI
1992482657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
LANITTA JANE WEAVER
1435 MCKINLEY ST
CANON CITY, CO 81212-4453
Phone number: 719-280-3021
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Mailing Address
LANITTA JANE WEAVER
1435 MCKINLEY ST
CANON CITY, CO 81212-4453
Phone number: 719-280-3021
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