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1477131613
DAVIS JOHNSON
CLAY, WV
NPI
1477131613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-03-30
Last Update Date
2021-03-30
Business Address
DAVIS JOHNSON
172 MAIN STREET
CLAY, WV 25043-2504
Phone number: 304-587-4251
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Mailing Address
DAVIS JOHNSON
PO BOX 655
CLAY, WV 25043-0655
Phone number:
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