LELAND HICKMAN

PEORIA, IL
NPI1306984588
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-016056)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Dr. LELAND HICKMAN D.M.D.
809 W DETWEILLER DR SUITE 805A
PEORIA, IL 61615-2149
Phone number: 309-692-1320
Mailing Address
Dr. LELAND HICKMAN D.M.D.
9159 DEER RIDGE DR
BLOOMINGTON, IL 61704-7821
Phone number:
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