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1174523609
SARA B. WICK
DALLAS, TX
NPI
1174523609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: TX 440004)
Enumeration Date
2005-07-27
Last Update Date
2007-07-09
Business Address
SARA B. WICK GNP
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES
DALLAS, TX 75235-7708
Phone number: 214-590-8006
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Mailing Address
SARA B. WICK GNP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number: 214-590-4105
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