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Individual

MR. JOHN B HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC, CSCS

Contact information

Practice address
1880 N PERRY STREET SUITE 100, OTTAWA, OH 45875
(419) 523-9003
Mailing address
229 ELM STREET, FINDLAY, OH 45840
(419) 427-1337

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001093
OH

Other

Enumeration date
10/05/2006
Last updated
07/08/2007
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