Brandon Lloyd Weaver
Brandon Lloyd Weaver is a Peer Specialist in Pryor, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
109 N Fairland StPryor, OK 74361-4205
Phone: (918) 825-1405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1568051167 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2021 |
| Last updated in NPPES | January 18, 2021 |
| Certification date | January 18, 2021 |
| Mailing address | Po Box 1554, Jay, OK 74346-1554 |
Other providers in Pryor
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Mrs. Sharon Marie Varasse
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