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1194590083
HAZELL CASTILLO CASTILLO
MERCED, CA
NPI
1194590083
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 732955)
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
Mr. HAZELL CASTILLO CASTILLO
300 E 15TH ST STE C
MERCED, CA 95341-6217
Phone number: 209-626-4420
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Mailing Address
Mr. HAZELL CASTILLO CASTILLO
300 E 15TH ST STE C
MERCED, CA 95341-6217
Phone number: 209-626-4420
Copy
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