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1366702060
CLARA M DAVIS
SOUTH BEND, IN
NPI
1366702060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
347C00000X Private Vehicle
Enumeration Date
2012-05-29
Last Update Date
2012-05-29
Business Address
Mrs. CLARA M DAVIS
1719 W DUBAIL ST
SOUTH BEND, IN 46613-1216
Phone number: 574-233-2287
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Mailing Address
Mrs. CLARA M DAVIS
1719 W DUBAIL ST
SOUTH BEND, IN 46613-1216
Phone number: 574-233-2287
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