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1871513739
JOHN R WICKMAN
MEMPHIS, TN
NPI
1871513739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TN md0000022064)
Enumeration Date
2006-07-20
Last Update Date
2007-07-09
Business Address
Dr. JOHN R WICKMAN M.D., MPH
8485 US HIGHWAY 64 101
MEMPHIS, TN 38133-4102
Phone number: 901-377-3001
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Mailing Address
Dr. JOHN R WICKMAN M.D., MPH
8485 US HIGHWAY 64 101
MEMPHIS, TN 38133-4102
Phone number: 901-377-3001
Copy
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