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1306120746
ODALIS CASTELLON
HOLLYWOOD, FL
NPI
1306120746
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: FL PA9101779)
Enumeration Date
2011-10-04
Last Update Date
2011-10-04
Business Address
Mrs. ODALIS CASTELLON Physician Assistant
3449 JOHNSON STREET
HOLLYWOOD, FL 33021
Phone number: 954-964-4113
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Mailing Address
Mrs. ODALIS CASTELLON Physician Assistant
3449 JOHNSON STREET
HOLLYWOOD, FL 33021
Phone number: 954-964-4113
Copy
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