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1972977742
CHRIS HICKMAN
ROCK ISLAND, IL
NPI
1972977742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160007015)
Enumeration Date
2015-11-17
Last Update Date
2015-11-17
Business Address
CHRIS HICKMAN
1450 18TH AVE APT A4
ROCK ISLAND, IL 61201-4322
Phone number: 563-726-3874
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Mailing Address
CHRIS HICKMAN
1450 18TH AVE APT A4
ROCK ISLAND, IL 61201-4322
Phone number: 563-726-3874
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