Individual
MRS. DAWN MARIE HICOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 NORTH 4TH AVENUE, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
165 LIKENS LANE, LONGVILLE, MN 56655
(218) 820-1365
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L67040-1
MN
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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