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1104217538
THERESA CASTILLO
GOODYEAR, AZ
NPI
1104217538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AZ LP044327)
Enumeration Date
2015-02-06
Last Update Date
2015-02-06
Business Address
-- THERESA CASTILLO
4095 N. 144TH AVE.
GOODYEAR, AZ 85395
Phone number: 623-535-6318
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Mailing Address
-- THERESA CASTILLO
4095 N. 144TH AVE.
GOODYEAR, AZ 85395
Phone number: 623-535-6318
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