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1780835033
THEODORE C HICKS
KOKOMO, IN
NPI
1780835033
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001034A)
Enumeration Date
2008-10-06
Last Update Date
2022-07-21
Business Address
THEODORE C HICKS PA-C
1010 S REED RD
KOKOMO, IN 46901-6248
Phone number: 765-457-4370
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Mailing Address
THEODORE C HICKS PA-C
746 N 1100 W
KEMPTON, IN 46049-9787
Phone number: 317-441-5347
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