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1215134499
JASON CASTRO LAFUENTE
NOBLESVILLE, IN
NPI
1215134499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05008691A)
Enumeration Date
2007-06-29
Last Update Date
2012-09-26
Business Address
-- JASON CASTRO LAFUENTE PT, CEAS
9730 PRAIRIE LAKES BLVD E
NOBLESVILLE, IN 46060-4766
Phone number: 317-770-3644
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Mailing Address
-- JASON CASTRO LAFUENTE PT, CEAS
13998 BRIGHTWATER DR
FISHERS, IN 46038-7181
Phone number: 317-525-7438
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