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1326651035
JENNA MARIE CASTILLO
POCATELLO, ID
NPI
1326651035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-08-24
Last Update Date
2020-12-07
Business Address
JENNA MARIE CASTILLO PA-C
950 HOSPITAL WAY STE A
POCATELLO, ID 83201-2762
Phone number: 208-478-4522
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Mailing Address
JENNA MARIE CASTILLO PA-C
950 HOSPITAL WAY STE A
POCATELLO, ID 83201-2762
Phone number: 208-478-4522
Copy
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