LARRY HICKS

TWIN FALLS, ID
NPI1669004412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1860)
Enumeration Date2020-02-10
Last Update Date2020-02-10
Business Address
LARRY HICKS
236 MARTIN ST
TWIN FALLS, ID 83301-4542
Phone number: 208-733-4444
Mailing Address
LARRY HICKS
236 MARTIN ST
TWIN FALLS, ID 83301-4542
Phone number:
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