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1255023537
YUNIOR ISIDRO CASTANO PEREZ
BRIDGEWATER, NJ
NPI
1255023537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2023-05-24
Last Update Date
2023-05-24
Business Address
YUNIOR ISIDRO CASTANO PEREZ
440 UNION AVE
BRIDGEWATER, NJ 08807-3142
Phone number: 949-687-6107
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Mailing Address
YUNIOR ISIDRO CASTANO PEREZ
102 CATALPA AVE
PERTH AMBOY, NJ 08861-4619
Phone number: 949-687-6107
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