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MRS. GERALD NICHOLE HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
940 HIGHWAY 96 STE A, WARNER ROBINS, GA 31088-2587
(478) 988-1212
Mailing address
102 WHITFIELD LN, WARNER ROBINS, GA 31088-8508
(478) 988-1212

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN081930
GA

Other

Enumeration date
08/03/2010
Last updated
08/03/2010
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