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KIMBERLY HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15338 ENCHANTE DR, CLINTON TOWNSHIP, MI 48038-3167
(586) 604-0652
Mailing address
15338 ENCHANTE DR, CLINTON TOWNSHIP, MI 48038-3167
(586) 604-0652

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703093572
MI

Other

Enumeration date
05/26/2015
Last updated
05/26/2015
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