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1255935037
MAVIS JEAN BLEIGH
CLAY, WV
NPI
1255935037
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Former Name
MAVIS JEAN STARCHER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2020-11-23
Last Update Date
2020-12-03
Business Address
MAVIS JEAN BLEIGH
15 BANK ST
CLAY, WV 25043
Phone number: 304-587-9992
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Mailing Address
MAVIS JEAN BLEIGH
25 SUNDANCE RD
IVYDALE, WV 25113-8164
Phone number: 304-968-9002
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