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1821139924
PRENTICE CHARLES HICKMAN
AMARILLO, TX
NPI
1821139924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: TX D6775)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Dr. PRENTICE CHARLES HICKMAN D.O.
4139 W. 34TH AVE.
AMARILLO, TX 79109
Phone number: 806-355-8221
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Mailing Address
Dr. PRENTICE CHARLES HICKMAN D.O.
P.O. BOX 8275
AMARILLO, TX 79114
Phone number: 806-355-8221
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