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1841871100
IMALLY HICKS
CHULA VISTA, CA
NPI
1841871100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
IMALLY HICKS
310 THIRD AVE STE B8
CHULA VISTA, CA 91910-3990
Phone number: 619-977-6851
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Mailing Address
IMALLY HICKS
16782 VON KARMAN AVE STE 11
IRVINE, CA 92606-2417
Phone number: 619-550-6368
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