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1053778910
JUAN LUIS CASTILLO
SALEM, OR
NPI
1053778910
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Former Name
JUAN LUIS CASTILLO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201600993NP-PP)
Enumeration Date
2016-01-24
Last Update Date
2022-03-31
Business Address
JUAN LUIS CASTILLO
1880 LANCASTER DR NE STE 108
SALEM, OR 97305-1065
Phone number: 971-273-0679
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Mailing Address
JUAN LUIS CASTILLO
1880 LANCASTER DR NE STE 108
SALEM, OR 97305-1065
Phone number: 971-273-0679
Copy
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