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1629250964
STACEY HICKEL
SACRAMENTO, CA
NPI
1629250964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1005X Dietitian, Registered, Nutrition, Renal
(Licence: CA 881956)
Enumeration Date
2007-11-28
Last Update Date
2007-11-28
Business Address
Miss STACEY HICKEL RD
2221 STOCKTON BLVD SUITE B
SACRAMENTO, CA 95817-1418
Phone number: 916-734-6528
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Mailing Address
Miss STACEY HICKEL RD
4851 KOKOMO DR #7324
SACRAMENTO, CA 95835-1840
Phone number: 916-470-9715
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