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Individual

JARROD EVANS HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
24 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 448-2234
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(603) 893-4515
(866) 420-1055

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
1113
NH
2083X0100X
Occupational Medicine Physician
OTA008403
OH

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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