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Organization
GARRISON R WEAVER-GOURDEAU
Active
Organization
GARRISON R WEAVER-GOURDEAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRISON R WEAVER-GOURDEAU D.C. (CHIROPRACTOR)
(818) 262-1325
Entity
Organization
Contact information
Practice address
4115 E. SOUTH ST, LAKEWOOD, CA 90712
(562) 408-1140
(562) 408-1141
Mailing address
4115 E. SOUTH ST, LAKEWOOD, CA 90712
(562) 408-1140
(562) 408-1141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
33614
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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