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1467550616
SHANE C HICKS
FPO, AP
NPI
1467550616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2006-09-20
Last Update Date
2022-07-21
Business Address
SHANE C HICKS IDC
USS KENTUCKY (SSBN 737)(BLUE)
FPO, AP 96698-2126
Phone number: 360-315-4204
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Mailing Address
SHANE C HICKS IDC
USS KENTUCKY (SSBN 737)(BLUE)
FPO, AP 96698-2126
Phone number: 360-315-4204
Copy
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