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Individual
JULIE W HICKS
Active
Individual
JULIE W HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2055
ME
207Q00000X
Family Medicine Physician
OS015789
PA
208M00000X
Hospitalist Physician
Primary
OS015789
PA
390200000X
Student in an Organized Health Care Education/Training Program
T0762
ME
Other
Enumeration date
03/26/2007
Last updated
10/26/2018
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