MICHAEL CHARLES LICK

DULUTH, MN
NPI1023793932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-19
Last Update Date2023-06-19
Business Address
MICHAEL CHARLES LICK
115 W 5TH ST # 2
DULUTH, MN 55806-2729
Phone number: 612-708-8024
Mailing Address
MICHAEL CHARLES LICK
115 W 5TH ST # 2
DULUTH, MN 55806-2729
Phone number: 612-708-8024
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