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1003197104
ERICA NICOLE HICKS
FT RUCKER, AL
NPI
1003197104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2-062689)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
MRS. ERICA NICOLE HICKS LPN
LYSTER ARMY HEALTH CLINIC BULIDING 301 ANDREWS AVE
FT RUCKER, AL 36362-5333
Phone number: 334-255-7000
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Mailing Address
MRS. ERICA NICOLE HICKS LPN
LYSTER ARMY HEALTH CLINIC BULIDING 301 ANDREWS AVE
FT RUCKER, AL 36362-5333
Phone number: 334-255-7000
Copy
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