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1841372257
RUSSELL A WICKS
MEMPHIS, TN
NPI
1841372257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 3320)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL A WICKS DDS
910 MADISON AVE STE 608
MEMPHIS, TN 38163-0001
Phone number: 901-448-6476
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Mailing Address
Dr. RUSSELL A WICKS DDS
910 MADISON AVE STE 608
MEMPHIS, TN 38163-0001
Phone number: 901-448-6476
Copy
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