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1750537387
WANDA F HICKS
CROSSETT, AR
NPI
1750537387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AR L28915)
Enumeration Date
2008-08-14
Last Update Date
2009-02-05
Business Address
-- WANDA F HICKS LPN
1308 WEST 5TH AVE
CROSSETT, AR 71635
Phone number: 870-364-6471
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Mailing Address
-- WANDA F HICKS LPN
1308 W 5TH AVE
CROSSETT, AR 71635-2500
Phone number: 870-364-6471
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