SUSAN JAYNE MICK

CHARLESTON, WV
NPI1679169320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376J00000X Homemaker
Enumeration Date2020-12-16
Last Update Date2020-12-16
Business Address
SUSAN JAYNE MICK
1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-344-0586
Mailing Address
SUSAN JAYNE MICK
1599 2ND AVE
CHARLESTON, WV 25387-2514
Phone number: 304-541-9832
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