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1033209853
KEVIN T. CASERTA
CENTRALIA, WA
NPI
1033209853
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WA MD00042344)
Enumeration Date
2006-10-13
Last Update Date
2021-05-03
Business Address
KEVIN T. CASERTA MD
1800 COOKS HILL RD STE E
CENTRALIA, WA 98531-9162
Phone number: 360-330-8626
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Mailing Address
KEVIN T. CASERTA MD
PO BOX 3360
PORTLAND, OR 97208-3360
Phone number: 360-330-8626
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