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1730283250
LAURENCE V HICKS
TWIN FALLS, ID
NPI
1730283250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O-180)
Enumeration Date
2006-09-13
Last Update Date
2019-06-11
Business Address
DR. LAURENCE V HICKS D.O.
236 MARTIN ST
TWIN FALLS, ID 83301-4542
Phone number: 208-733-4444
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Mailing Address
DR. LAURENCE V HICKS D.O.
236 MARTIN ST
TWIN FALLS, ID 83301-4542
Phone number: 208-733-4444
Copy
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