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1114360229
SUZANNE MARIE WICAL
FORT CAMPBELL, KY
NPI
1114360229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NE 28269)
Enumeration Date
2013-04-09
Last Update Date
2019-03-20
Business Address
Dr. SUZANNE MARIE WICAL M.D.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 605-651-4259
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Mailing Address
Dr. SUZANNE MARIE WICAL M.D.
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 605-651-4259
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