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Field
Value
AME Number:
21081
First Name:
TIMOTHY W
Last Name:
HICKERSON
Name Suffix:
Medical License:
MD
Medical Specialty:
Internal Medicine
First Class AME:
Y
Appointment Date:
3/29/2001
Pilots License:
Private
Accident Investigator:
N
Phone Number:
(937) 390-3040
Mailing Address:
2331 DERR RD
City Name:
SPRINGFIELD
State Name:
OHIO
Zip Code:
45503-0000
County Name:
CLARK
Region Name:
GREAT LAKES
Updated: 08:49 am ET Nov. 13, 2015
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