MARIO ANDRES CASALLAS

WRIGHT PATTERSON AFB, OH
NPI1285399246
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-11-04
Last Update Date2021-11-04
Business Address
MARIO ANDRES CASALLAS
4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433-5529
Phone number: 937-257-8349
Mailing Address
MARIO ANDRES CASALLAS
5971 HICKAM DR
DAYTON, OH 45431-1561
Phone number:
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