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1396627691
MICKALA GORDON
MORGANTOWN, WV
NPI
1396627691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2025-07-25
Last Update Date
2025-07-25
Business Address
MICKALA GORDON
382 BROADWAY AVE
MORGANTOWN, WV 26505-0364
Phone number: 304-599-7743
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Mailing Address
MICKALA GORDON
382 BROADWAY AVE
MORGANTOWN, WV 26505-0364
Phone number:
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