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1154836575
LARISSA CHRISTINE DAVIS
HUNTINGTON, WV
NPI
1154836575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
LARISSA CHRISTINE DAVIS
1 JOHN MARSHALL DR
HUNTINGTON, WV 25755-0002
Phone number: 304-923-4620
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Mailing Address
LARISSA CHRISTINE DAVIS
2967 WINTERS RD
HUNTINGTON, WV 25702-1228
Phone number: 304-923-4620
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