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1073903159
EDWARD HICKERSON
MERCED, CA
NPI
1073903159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-01-28
Last Update Date
2019-11-13
Business Address
EDWARD HICKERSON
3360 N HIGHWAY 59 STE K
MERCED, CA 95348-9405
Phone number: 209-726-3090
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Mailing Address
EDWARD HICKERSON
3360 N HIGHWAY 59 STE K
MERCED, CA 95348-9405
Phone number: 209-726-3090
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