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Individual

MR. BRYAN ANTHONY HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4201 RIDGEVIEW DR, LINCOLN, NE 68506-5158
(402) 601-2801
Mailing address
4201 RIDGEVIEW DR, LINCOLN, NE 68506-5158
(402) 601-2801

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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