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1770846131
SHAWNA RENE HICKEL
ANCHORAGE, AK
NPI
1770846131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AK 6516)
Enumeration Date
2012-06-20
Last Update Date
2014-01-17
Business Address
-- SHAWNA RENE HICKEL
1201 E 36TH AVE
ANCHORAGE, AK 99508-4372
Phone number: 907-562-9229
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Mailing Address
-- SHAWNA RENE HICKEL
PO BOX 196276
ANCHORAGE, AK 99519-6276
Phone number: 907-212-6522
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