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1164040440
MIGUEL CASTILLO
ELK GROVE, CA
NPI
1164040440
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-07-13
Last Update Date
2020-07-13
Business Address
MIGUEL CASTILLO
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624-9476
Phone number: 916-683-1109
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Mailing Address
MIGUEL CASTILLO
PO BOX 5157
MODESTO, CA 95352-5157
Phone number: 209-572-2589
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