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1225524424
CRISTOBAL ANDRES YACELGA CASTILLO
PORTLAND, OR
NPI
1225524424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1100X Technician/Technologist, Ophthalmic
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
CRISTOBAL ANDRES YACELGA CASTILLO
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
CRISTOBAL ANDRES YACELGA CASTILLO
1312 SW 10TH AVE APT 1014
PORTLAND, OR 97201-3479
Phone number:
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