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1154549863
GLENDA D HICKS
FAIRBANKS, AK
NPI
1154549863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: AK 171MOOOOOX)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
GLENDA D HICKS
805 AIRPORT WAY
FAIRBANKS, AK 99701-6039
Phone number: 907-456-8901
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Mailing Address
GLENDA D HICKS
805 AIRPORT WAY
FAIRBANKS, AK 99701-6039
Phone number: 907-456-8901
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