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1154916617
KELLY CASTILLO
FAIRFIELD, CA
NPI
1154916617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95331398)
Enumeration Date
2021-03-06
Last Update Date
2023-09-18
Business Address
KELLY CASTILLO
470 CHADBOURNE RD STE A
FAIRFIELD, CA 94534-9620
Phone number: 707-419-8989
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Mailing Address
KELLY CASTILLO
824 GREENHEAD WAY
SUISUN CITY, CA 94585-1834
Phone number:
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