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1730380072
KEVIN SPENCER HICKS
VANCOUVER, WA
NPI
1730380072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA60088481)
Enumeration Date
2007-05-31
Last Update Date
2018-08-06
Business Address
Mr. KEVIN SPENCER HICKS
700 NE 87TH AVE
VANCOUVER, WA 98664
Phone number: 360-397-3119
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Mailing Address
Mr. KEVIN SPENCER HICKS
700 NE 87TH AVE
VANCOUVER, WA 98664-1913
Phone number: 360-397-3119
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