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1033729405
DAVID VICKERS
BEVERLY, WV
NPI
1033729405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-07-31
Last Update Date
2020-07-31
Business Address
DAVID VICKERS
50 SIEGAL RD
BEVERLY, WV 26253-4692
Phone number: 304-636-5195
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Mailing Address
DAVID VICKERS
PO BOX 203 C
BEVERLY, WV 26241
Phone number: 304-636-5195
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