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1801905302
LARRY W. HICKS
CRESTON, IA
NPI
1801905302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IA 01473)
Enumeration Date
2006-08-29
Last Update Date
2010-02-01
Business Address
-- LARRY W. HICKS OD
900 N SUMNER AVE
CRESTON, IA 50801-1351
Phone number: 641-782-5970
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Mailing Address
-- LARRY W. HICKS OD
900 N SUMNER AVE
CRESTON, IA 50801-1351
Phone number: 641-782-5970
Copy
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