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1659968667
TRACY DAVIS
LOST CREEK, WV
NPI
1659968667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-23
Last Update Date
2020-12-23
Business Address
TRACY DAVIS
160 HUFF YOUNG RD
LOST CREEK, WV 26385-7355
Phone number: 304-629-3708
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Mailing Address
TRACY DAVIS
160 HUFF YOUNG RD
LOST CREEK, WV 26385-7355
Phone number: 304-629-3708
Copy
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