SARA JEANNINE GALE HICKS

DU QUOIN, IL
NPI1609025253
Former NameSARA JEANNINE GALE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IL  043101095)
Enumeration Date2008-09-18
Last Update Date2008-09-18
Business Address
SARA JEANNINE GALE HICKS LPN
119 GAS PLANT RD
DU QUOIN, IL 62832-3866
Phone number: 618-542-8702
Mailing Address
SARA JEANNINE GALE HICKS LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2436
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