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1225416936
BRIAN WICKERS
TUCSON, AZ
NPI
1225416936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: AZ R75035)
Enumeration Date
2015-05-13
Last Update Date
2015-05-13
Business Address
-- BRIAN WICKERS
1501 N CAMPBELL AVE
TUCSON, AZ 85724-5058
Phone number: 520-626-7747
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Mailing Address
-- BRIAN WICKERS
1501 N CAMPBELL AVE PO BOX 245058
TUCSON, AZ 85724-5058
Phone number: 520-626-7747
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