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1093856130
FUSAE MARY WICKS
LAS VEGAS, NV
NPI
1093856130
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV 813615)
Enumeration Date
2007-02-10
Last Update Date
2021-06-11
Business Address
Mrs. FUSAE MARY WICKS NP
4560 S EASTERN AVE STE 15
LAS VEGAS, NV 89119-6182
Phone number: 702-994-7267
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Mailing Address
Mrs. FUSAE MARY WICKS NP
7104 CARMEN BLVD
LAS VEGAS, NV 89128-3430
Phone number: 702-994-7267
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