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1447430905
CHARLES HICKS
MIAMI GARDENS, FL
NPI
1447430905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: FL PN5162196)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
Mr. CHARLES HICKS
111 NW 183RD ST SUITE 400
MIAMI GARDENS, FL 33169-4537
Phone number: 305-892-4753
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Mailing Address
Mr. CHARLES HICKS
111 NW 183RD ST SUITE 400
MIAMI GARDENS, FL 33169-4537
Phone number: 305-892-4753
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