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Individual
THERESA ICK
Active
Individual
THERESA ICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
1744R1102X
Research Study Specialist
—
—
Other
Enumeration date
12/26/2013
Last updated
08/24/2020
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