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1821505108
BRADY HICKS
MARTIN, SD
NPI
1821505108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2018-01-08
Last Update Date
2021-08-16
Business Address
BRADY HICKS PA-C, ATC
102 MAJOR ALLEN ST
MARTIN, SD 57551-6005
Phone number: 605-685-6622
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Mailing Address
BRADY HICKS PA-C, ATC
PO BOX 345
MARTIN, SD 57551-0345
Phone number: 605-899-0099
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