JACK DAVISON

CLAY, WV
NPI1447026299
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2023-12-01
Last Update Date2023-12-01
Business Address
JACK DAVISON
15 BANK STREET
CLAY, WV 25043
Phone number: 304-587-9992
Mailing Address
JACK DAVISON
PO BOX 835
CLAY, WV 25043-0835
Phone number: 304-587-9992
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