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1194222901
JOHN C HICKEY
BOISE, ID
NPI
1194222901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: ID CHIA-1836)
Enumeration Date
2018-04-09
Last Update Date
2018-04-09
Business Address
Dr. JOHN C HICKEY DC
376 S LATAH ST
BOISE, ID 83705
Phone number: 208-338-9111
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Mailing Address
Dr. JOHN C HICKEY DC
376 S LATAH ST
BOISE, ID 83705-1539
Phone number:
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