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Individual
ABBY MARIE HICKS
Active
Individual
ABBY MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002030
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002030
IOWA LICENSE
IA
Enumeration date
01/11/2012
Last updated
12/12/2017
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