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1457694226
QUIANA WICKS
LONG BEACH, CA
NPI
1457694226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22443)
Enumeration Date
2013-03-30
Last Update Date
2013-03-30
Business Address
Ms. QUIANA WICKS P.A.- C
1250 PACIFIC AVE
LONG BEACH, CA 90813-3026
Phone number: 310-709-7694
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Mailing Address
Ms. QUIANA WICKS P.A.- C
PO BOX 273
LYNWOOD, CA 90262-0273
Phone number: 310-709-7694
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