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Individual
DR. JACK DAVID WEAVER
Active
Individual
DR. JACK DAVID WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC10695
CA
Other
Enumeration date
11/10/2005
Last updated
09/13/2012
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