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1023793932
MICHAEL CHARLES LICK
DULUTH, MN
NPI
1023793932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-19
Last Update Date
2023-06-19
Business Address
MICHAEL CHARLES LICK
115 W 5TH ST # 2
DULUTH, MN 55806-2729
Phone number: 612-708-8024
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Mailing Address
MICHAEL CHARLES LICK
115 W 5TH ST # 2
DULUTH, MN 55806-2729
Phone number: 612-708-8024
Copy
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