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1114680766
LORETTA LOUISE WICKWARE
YUMA, AZ
NPI
1114680766
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2021-10-20
Last Update Date
2021-10-20
Business Address
LORETTA LOUISE WICKWARE
521 S 7TH AVE
YUMA, AZ 85364-2968
Phone number: 619-602-7636
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Mailing Address
LORETTA LOUISE WICKWARE
521 S 7TH AVE
YUMA, AZ 85364-2968
Phone number: 619-602-7636
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