SHANE C HICKS

FPO, AP
NPI1467550616
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2006-09-20
Last Update Date2022-07-21
Business Address
-- SHANE C HICKS IDC
USS KENTUCKY (SSBN 737)(BLUE)
FPO, AP 96698-2126
Phone number: 360-315-4204
Mailing Address
-- SHANE C HICKS IDC
USS KENTUCKY (SSBN 737)(BLUE)
FPO, AP 96698-2126
Phone number: 360-315-4204
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