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1073865507
JACQUELINE CASTILLO
LONG BEACH, CA
NPI
1073865507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-08
Last Update Date
2012-10-08
Business Address
-- JACQUELINE CASTILLO
3501 ATLANTIC AVE
LONG BEACH, CA 90807-4515
Phone number: 562-981-1501
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Mailing Address
-- JACQUELINE CASTILLO
830 S OLIVE ST
LOS ANGELES, CA 90014-3006
Phone number: 213-213-0581
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