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Individual
JUANITA HICKS
Active
Individual
JUANITA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11164
TX
Other
Enumeration date
07/23/2009
Last updated
10/26/2010
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