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1073174280
COURTNEY A HICKS
BALTIMORE, MD
NPI
1073174280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MD R204312)
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
COURTNEY A HICKS CRNP
22 S GREENE ST
BALTIMORE, MD 21201-1544
Phone number: 410-328-1556
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Mailing Address
COURTNEY A HICKS CRNP
12 OPEN GATE CT
NOTTINGHAM, MD 21236-1656
Phone number: 410-627-0255
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