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1194882548
ETHAN HIXSON
CHICAGO, IL
NPI
1194882548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085.002830)
Enumeration Date
2007-01-03
Last Update Date
2008-03-06
Business Address
-- ETHAN HIXSON PA-C
250 E SUPERIOR ST PRENTICE, 4-420
CHICAGO, IL 60611-2914
Phone number: 312-472-0440
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Mailing Address
-- ETHAN HIXSON PA-C
250 E SUPERIOR ST PRENTICE, 4-420
CHICAGO, IL 60611-2914
Phone number: 312-472-0440
Copy
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