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1295403319
MACKENZIE CASTILLO
MORGANTOWN, WV
NPI
1295403319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001792)
Enumeration Date
2021-09-02
Last Update Date
2021-09-02
Business Address
MACKENZIE CASTILLO LAT, ATC
1500 UNIVERSITY AVE
MORGANTOWN, WV 26506
Phone number: 304-293-0111
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Mailing Address
MACKENZIE CASTILLO LAT, ATC
511 BURROUGHS ST APT 205
MORGANTOWN, WV 26505-3390
Phone number: 910-309-9024
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