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1104422161
TAMATHA GROVES DAVIS
SUTTON, WV
NPI
1104422161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
TAMATHA GROVES DAVIS
101 2ND ST STE 201
SUTTON, WV 26601-1303
Phone number: 304-765-3668
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Mailing Address
TAMATHA GROVES DAVIS
1501 CAMP FORK RD
SUMMERSVILLE, WV 26651-4044
Phone number: 919-797-8812
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