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1386669257
GARY S. NICKERSON
HIGHLAND, IN
NPI
1386669257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: IN 12009939A)
Enumeration Date
2006-07-13
Last Update Date
2007-07-09
Business Address
Dr. GARY S. NICKERSON D.D.S.
2833 LINCOLN ST SUITE 1
HIGHLAND, IN 46322-1924
Phone number: 219-838-2007
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Mailing Address
Dr. GARY S. NICKERSON D.D.S.
8330 W 145TH PL
ORLAND PARK, IL 60462-2867
Phone number: 708-349-8677
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