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1285243170
MICHELLE HICKEY
ALTON, IL
NPI
1285243170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.032715)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
Dr. MICHELLE HICKEY DMD
2800 COLLEGE AVE
ALTON, IL 62002-4742
Phone number: 630-697-5890
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Mailing Address
Dr. MICHELLE HICKEY DMD
4041 CHOUTEAU AVE APT 309
SAINT LOUIS, MO 63110-1729
Phone number: 630-697-5890
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