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1720632219
BRICSON HICKLEN
LAS VEGAS, NV
NPI
1720632219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2019-08-01
Last Update Date
2019-08-01
Business Address
BRICSON HICKLEN
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-320-5222
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Mailing Address
BRICSON HICKLEN
3175 S EASTERN AVE
LAS VEGAS, NV 89169-3308
Phone number: 702-320-5222
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