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1093883340
IMELDA CASTILLO TAN
PHILADELPHIA, PA
NPI
1093883340
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: PA OEG000945)
Enumeration Date
2006-12-02
Last Update Date
2013-07-24
Business Address
IMELDA CASTILLO TAN O.D.
3166 KENSINGTON AVE
PHILADELPHIA, PA 19134-2421
Phone number: 215-425-3937
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Mailing Address
IMELDA CASTILLO TAN O.D.
7901 ROCKWELL AVENUE
PHILADELPHIA, PA 19111-2222
Phone number: 215-342-0392
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