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Jamie Weaver, MT21003551

NPI 1528497260 · on the registry since 2013 · sole proprietor

Practice

Address
25 Moore St
Mooresville, IN 46158
Phone
(317) 554-7656

Registry record

Primary taxonomy
174V00000X
174V00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana