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1235486770
JENNIFER LYNN HICKS
FAYETTEVILLE, AR
NPI
1235486770
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Former Name
JENNIFER LYNN KEIFER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
Enumeration Date
2012-08-14
Last Update Date
2020-02-21
Business Address
JENNIFER LYNN HICKS RD
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1944
Phone number: 479-443-4301
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Mailing Address
JENNIFER LYNN HICKS RD
PO BOX 2429
SMYRNA, TN 37167-1719
Phone number: 248-396-3549
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