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1922754506
MICHAEL RAY VICE
FAIRMONT, WV
NPI
1922754506
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
Enumeration Date
2022-02-23
Last Update Date
2022-02-23
Business Address
MICHAEL RAY VICE
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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Mailing Address
MICHAEL RAY VICE
16 MOUNTAIN PARK DR
FAIRMONT, WV 26554-8992
Phone number: 304-816-3687
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