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Individual
RITA COLEEN STICE
Active
Individual
RITA COLEEN STICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
16950
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47076982013
—
NE
Enumeration date
05/23/2006
Last updated
07/24/2008
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