Middle Island (West Virginia)
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Middle Island is a bar island on the Ohio River at St. Marys in Pleasants County, West Virginia. Middle Island lends its name to West Virginia's Middle Island Creek and lies at its confluence with "The Thoroughfare", a channel of the Ohio River that separates the island from the coast. A bridge connects Middle Island to downtown St. Marys.
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- Middle Island (West Virginia) is at coordinates Coordinates: