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1215417332
JUDY LYNN HICKS
GALLUP, NM
NPI
1215417332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TN 221335)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
JUDY LYNN HICKS
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
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Mailing Address
JUDY LYNN HICKS
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1790
Copy
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