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1447607403
DEBRA HICKS
GALLUP, NM
NPI
1447607403
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Former Name
DEBRA J KENNEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: KY 1111353)
Enumeration Date
2016-05-19
Last Update Date
2016-05-19
Business Address
-- DEBRA HICKS RN
516 E NIZHONI BLVD
GALLUP, NM 87301-5748
Phone number: 505-722-1000
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Mailing Address
-- DEBRA HICKS RN
PO BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1000
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