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1396168985
DEMETRIC CHILDS-HICKS
SELMA, AL
NPI
1396168985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AL 1-089829)
Enumeration Date
2014-02-02
Last Update Date
2014-10-21
Business Address
-- DEMETRIC CHILDS-HICKS CRNP
228 SELMA AVE POST OFFICE BOX 2213
SELMA, AL 36701-5825
Phone number: 334-874-7428
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Mailing Address
-- DEMETRIC CHILDS-HICKS CRNP
228 SELMA AVE P.O. BOX 2213
SELMA, AL 36701-5825
Phone number: 334-874-7428
Copy
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