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1447558465
MICHAEL ALAN HICKS
TOOELE, UT
NPI
1447558465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-01
Last Update Date
2011-03-01
Business Address
Mr. MICHAEL ALAN HICKS CM
100 S 1000 W
TOOELE, UT 84074-4010
Phone number: 435-843-3520
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Mailing Address
Mr. MICHAEL ALAN HICKS CM
100 S 1000 W
TOOELE, UT 84074-4010
Phone number: 435-843-3520
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