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1518223056
JERRY L. HICKS
KENT, WA
NPI
1518223056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WA PH00009801)
Enumeration Date
2012-04-10
Last Update Date
2012-04-10
Business Address
Mr. JERRY L. HICKS RPh
10201 SE 240TH ST
KENT, WA 98031-4895
Phone number: 253-859-5533
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Mailing Address
Mr. JERRY L. HICKS RPh
10201 SE 240TH ST
KENT, WA 98031-4895
Phone number: 253-859-5533
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