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1245507730
DARRELL GLEN CASTLEBERRY
TUBA CITY, AZ
NPI
1245507730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS R854500)
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
Mr. DARRELL GLEN CASTLEBERRY RN
167 N. MAIN ST.
TUBA CITY, AZ 86045
Phone number: 928-283-2501
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Mailing Address
Mr. DARRELL GLEN CASTLEBERRY RN
8782 N PAULETTES PL
BILOXI, MS 39532-7410
Phone number: 228-326-5197
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