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1124354196
AMY SUZANNE FICKLIN
BEAVERTON, OR
NPI
1124354196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 200930338LPN)
Enumeration Date
2009-10-27
Last Update Date
2009-10-27
Business Address
Mrs. AMY SUZANNE FICKLIN LPN
763 NW ADWICK DRIVE
BEAVERTON, OR 97006-9207
Phone number: 317-716-8197
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Mailing Address
Mrs. AMY SUZANNE FICKLIN LPN
763 NW ADWICK DRIVE
BEAVERTON, OR 97006-9207
Phone number: 317-716-8197
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