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1295784783
DICK GIN
SAN LUIS OBISPO, CA
NPI
1295784783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA 000080438)
Enumeration Date
2006-05-10
Last Update Date
2007-07-08
Business Address
Mr. DICK GIN ATC
1545 HIGUERA STREET
SAN LUIS OBISPO, CA 93401
Phone number: 805-543-5633
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Mailing Address
Mr. DICK GIN ATC
2663 MEADOW STREET
SAN LUIS OBISPO, CA 93401
Phone number: 805-541-1175
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