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1265004691
FIDENCIO CASTILLO TRISTAN
SAN ANTONIO, TX
NPI
1265004691
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2148358)
Enumeration Date
2021-07-14
Last Update Date
2021-07-14
Business Address
FIDENCIO CASTILLO TRISTAN
6715 STONE LAKE DR
SAN ANTONIO, TX 78244-1665
Phone number: 830-556-0243
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Mailing Address
FIDENCIO CASTILLO TRISTAN
6715 STONE LAKE DR
SAN ANTONIO, TX 78244-1665
Phone number: 830-556-0243
Copy
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