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1053905687
VICKY MCDIVITT
SUMMERSVILLE, WV
NPI
1053905687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-02-24
Last Update Date
2021-02-24
Business Address
VICKY MCDIVITT
398 IRISH ST
SUMMERSVILLE, WV 26651-1816
Phone number: 304-872-3672
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Mailing Address
VICKY MCDIVITT
398 IRISH ST
SUMMERSVILLE, WV 26651-1816
Phone number: 304-872-3672
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