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1821502089
CAVINE HICKS
DETROIT, MI
NPI
1821502089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
CAVINE HICKS
12026 W OUTER DR
DETROIT, MI 48223-2585
Phone number: 313-532-1312
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Mailing Address
CAVINE HICKS
17179 MELROSE ST
SOUTHFIELD, MI 48075-7604
Phone number: 313-207-2077
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