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1649418971
CONNIE FAIRLEY HICKS
RALEIGH, NC
NPI
1649418971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5004262)
Enumeration Date
2009-01-23
Last Update Date
2012-11-30
Business Address
-- CONNIE FAIRLEY HICKS DNP-NP
3801 LAKE BOONE TRL SUITE G
RALEIGH, NC 27607-2934
Phone number: 919-865-8710
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Mailing Address
-- CONNIE FAIRLEY HICKS DNP-NP
3801 LAKE BOONE TRL
RALEIGH, NC 27607-2934
Phone number: 919-856-8710
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