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1043816655
MARY JANE SURFACE
SUTTON, WV
NPI
1043816655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
MARY JANE SURFACE
101 2ND ST STE 201
SUTTON, WV 26601-1303
Phone number: 304-765-3668
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Mailing Address
MARY JANE SURFACE
124 RAVEN RD
WEBSTER SPRINGS, WV 26288-8417
Phone number: 304-644-6725
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