Individual
MR. DICK GIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1545 HIGUERA STREET, SAN LUIS OBISPO, CA 93401
(805) 543-5633
(805) 543-5990
Mailing address
2663 MEADOW STREET, SAN LUIS OBISPO, CA 93401
(805) 541-1175
(805) 543-5633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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