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Individual

MR. JAMES RICHARD PINYAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC, CSCS

Contact information

Practice address
1255 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114-2816
(386) 258-4665
Mailing address
123 BRANDY HILLS DR, PORT ORANGE, FL 32129-3668
(386) 761-9265

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1344
FL

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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