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1093247769
IVY WICKS
WALDORF, MD
NPI
1093247769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MD D0091620)
Enumeration Date
2017-03-31
Last Update Date
2023-07-31
Business Address
IVY WICKS MD
12070 OLD LINE CTR STE 302
WALDORF, MD 20602-2567
Phone number: 301-645-6667
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Mailing Address
IVY WICKS MD
12070 OLD LINE CTR STE 302
WALDORF, MD 20602-2567
Phone number: 301-645-6667
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