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1194160242
GLEN C JICKLING
SACRAMENTO, CA
NPI
1194160242
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA A104529)
Enumeration Date
2013-05-02
Last Update Date
2013-05-02
Business Address
Dr. GLEN C JICKLING M.D.
2805 50TH ST RM 2415, MIND INSTITUTE, UNIVERSITY OF CALIFORNIA DAVIS
SACRAMENTO, CA 95817-2312
Phone number: 916-703-0449
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Mailing Address
Dr. GLEN C JICKLING M.D.
2805 50TH ST RM 2415, MIND INSTITUTE, UNIVERSITY OF CALIFORNIA DAVIS
SACRAMENTO, CA 95817-2312
Phone number: 916-703-0449
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