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1265031090
DAVID JORDAN HICKMON
BRYANT, AR
NPI
1265031090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR 4883)
Enumeration Date
2020-10-22
Last Update Date
2020-11-04
Business Address
Dr. DAVID JORDAN HICKMON PT
3231 MAIN ST STE 3
BRYANT, AR 72022-9201
Phone number: 501-847-0500
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Mailing Address
Dr. DAVID JORDAN HICKMON PT
5519A LEE AVE
LITTLE ROCK, AR 72205-3439
Phone number: 501-230-0035
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