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1497021414
LISA M HICKS
DOTHAN, AL
NPI
1497021414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AL 1-109237)
Enumeration Date
2012-03-23
Last Update Date
2017-07-06
Business Address
Mrs. LISA M HICKS CPNP
126 CLINIC DR
DOTHAN, AL 36303-1980
Phone number: 334-793-1881
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Mailing Address
Mrs. LISA M HICKS CPNP
126 CLINIC DR
DOTHAN, AL 36303-1980
Phone number: 334-793-1881
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