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1124541164
JOHNNY DONALD TICE
HOBBS, NM
NPI
1124541164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NM DD4760)
Enumeration Date
2017-07-21
Last Update Date
2017-10-10
Business Address
JOHNNY DONALD TICE DDS
1710 W JOE HARVEY BLVD STE B
HOBBS, NM 88240-0821
Phone number: 888-988-4066
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Mailing Address
JOHNNY DONALD TICE DDS
2050 E ALGONQUIN RD STE 610
SCHAUMBURG, IL 60173-4166
Phone number: 888-988-4066
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