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1043303019
LATURE ELEASE HICKS
FAYETTEVILLE, AR
NPI
1043303019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AR A02945)
Enumeration Date
2006-10-02
Last Update Date
2014-01-08
Business Address
Mrs. LATURE ELEASE HICKS NP-C
1100 N WOOLSEY AVE
FAYETTEVILLE, AR 72703-1847
Phone number: 479-444-7548
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Mailing Address
Mrs. LATURE ELEASE HICKS NP-C
1100 N WOOLSEY AVE
FAYETTEVILLE, AR 72703-1847
Phone number: 479-444-7548
Copy
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