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1891042396
CODY DON NICKLES
WYNNE, AR
NPI
1891042396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT4335)
Enumeration Date
2012-08-14
Last Update Date
2018-10-09
Business Address
Mr. CODY DON NICKLES PT
3027 HWY 364 EAST
WYNNE, AR 72387
Phone number: 870-588-2408
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Mailing Address
Mr. CODY DON NICKLES PT
1011 MARION DR
WYNNE, AR 72396-2428
Phone number: 870-588-2408
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