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1003411455
MIKEL WAYNE DAVIS
PARKERSBURG, WV
NPI
1003411455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-03
Last Update Date
2020-12-03
Business Address
MIKEL WAYNE DAVIS
1222 MARKET ST
PARKERSBURG, WV 26101-4323
Phone number: 304-865-5420
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Mailing Address
MIKEL WAYNE DAVIS
115 1/2 W MAIN ST
PADEN CITY, WV 26159-1425
Phone number: 304-337-8587
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