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1740876655
GRACIE LOGAN DAVIS
SUTTON, WV
NPI
1740876655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-12-15
Last Update Date
2020-12-15
Business Address
GRACIE LOGAN DAVIS
101 2ND ST STE 201
SUTTON, WV 26601-1303
Phone number: 304-765-3668
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Mailing Address
GRACIE LOGAN DAVIS
1778 LOWER SLEITH RD
FRAMETOWN, WV 26623-6642
Phone number: 304-678-5113
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