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1134274962
MICHAEL SHANE CASTILLE
JENNINGS, LA
NPI
1134274962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 03171)
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL SHANE CASTILLE PT
2002 JOHNSON ST STE. 100
JENNINGS, LA 70546-3646
Phone number: 337-824-4547
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Mailing Address
Mr. MICHAEL SHANE CASTILLE PT
133 EQUIPMENT LN
CARENCRO, LA 70520-5638
Phone number: 337-824-4547
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