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1083275044
BLAKE CASTILLO
CHARLESTON, SC
NPI
1083275044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SC MD82875LL)
Enumeration Date
2019-06-21
Last Update Date
2019-06-21
Business Address
BLAKE CASTILLO MD
169 ASHLEY AVENUE RM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Phone number: 843-792-4638
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Mailing Address
BLAKE CASTILLO MD
169 ASHLEY AVENUE RM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Phone number:
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