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1003175506
LYDIA WICKS
BRONX, NY
NPI
1003175506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: NY 204294)
Enumeration Date
2012-05-04
Last Update Date
2012-05-04
Business Address
-- LYDIA WICKS nurse
339 MORRIS AVE
BRONX, NY 10451-6122
Phone number: 718-585-2100
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Mailing Address
-- LYDIA WICKS nurse
339 MORRIS AVE
BRONX, NY 10451-6122
Phone number: 718-585-2100
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