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1760226096
REBECCA JANE LICKISS
WINONA, MN
NPI
1760226096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA F06241684)
Enumeration Date
2024-06-21
Last Update Date
2024-06-23
Business Address
REBECCA JANE LICKISS ARNP
855 MANKATO AVE
WINONA, MN 55987-4868
Phone number: 507-454-3650
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Mailing Address
REBECCA JANE LICKISS ARNP
933 IOWA RIVER DR
DORCHESTER, IA 52140-7545
Phone number: 563-203-0237
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