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1104575760
PHILLIP PETE CASILLAS
VISALIA, CA
NPI
1104575760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1465640422)
Enumeration Date
2022-03-21
Last Update Date
2024-01-29
Business Address
Mr. PHILLIP PETE CASILLAS RADT-I
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
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Mailing Address
Mr. PHILLIP PETE CASILLAS RADT-I
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
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