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1275905374
LAURA CASTILLO
HERRIN, IL
NPI
1275905374
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Former Name
LAURA EADIE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: IL 209013327)
Enumeration Date
2015-10-28
Last Update Date
2024-11-25
Business Address
LAURA CASTILLO APN
405 RUSHING DR
HERRIN, IL 62948-3730
Phone number: 618-993-3300
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Mailing Address
LAURA CASTILLO APN
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200
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