BENJAMIN HICKS

CREVE COEUR, MO
NPI1114315140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2014028850)
Enumeration Date2014-12-29
Last Update Date2016-09-27
Business Address
-- BENJAMIN HICKS MS, ATC
633 EMERSON RD SUITE 20
CREVE COEUR, MO 63141-6739
Phone number: 314-325-3068
Mailing Address
-- BENJAMIN HICKS MS, ATC
633 EMERSON RD SUITE 20
CREVE COEUR, MO 63141-6739
Phone number: 314-325-3068
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