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Individual

JUSTIN DANIEL PYKARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
726 WICK AVE, YOUNGSTOWN, OH 44505-2827
(330) 747-9551
Mailing address
101 BRENT PL, CORTLAND, OH 44410-1300
(330) 747-9551

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
353219-1
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144769
OH
Enumeration date
08/07/2015
Last updated
11/18/2016
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