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1417545252
IDELLA MARIE HICKS
INKSTER, MI
NPI
1417545252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
IDELLA MARIE HICKS
4183 WAYLAND CT
INKSTER, MI 48141-2818
Phone number: 330-951-9865
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Mailing Address
IDELLA MARIE HICKS
4183 WAYLAND CT
INKSTER, MI 48141-2818
Phone number: 330-951-9865
Copy
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