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1679118525
HICKS HOME-BASED PRIMARY CARE, LLC
MOBILE, AL
NPI
1679118525
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Entity Type
Organization
Authorized Contact
WANDA DENISE HICKS
CEO And Founder
251-408-7568
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-11-14
Last Update Date
2022-03-31
Business Address
HICKS HOME-BASED PRIMARY CARE, LLC
1111 E I65 SERVICE RD S STE 210
MOBILE, AL 36606-3123
Phone number: 251-408-7568
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Mailing Address
HICKS HOME-BASED PRIMARY CARE, LLC
1111 E I65 SERVICE RD S STE 210
MOBILE, AL 36606-3123
Phone number: 251-408-7568
Copy
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