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1336129451
STANLEY MICHAEL HICKS
KELSO, WA
NPI
1336129451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WA MD00029538)
Enumeration Date
2006-01-17
Last Update Date
2007-07-09
Business Address
Dr. STANLEY MICHAEL HICKS M.D.
700 LINCOLN ST SUITE 100
KELSO, WA 98626-1057
Phone number: 360-425-5131
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Mailing Address
Dr. STANLEY MICHAEL HICKS M.D.
700 LINCOLN ST SUITE 100
KELSO, WA 98626-1057
Phone number: 360-425-5131
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