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1447241229
MARY HICKS
DETROIT, MI
NPI
1447241229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704154971)
Enumeration Date
2005-11-02
Last Update Date
2018-07-20
Business Address
MARY HICKS NP
1 FORD PL
DETROIT, MI 48202
Phone number: 800-653-6568
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Mailing Address
MARY HICKS NP
28690 OLD NORTH RIVER RD
HARRISON TWP, MI 48045-1619
Phone number: 586-801-8488
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