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1376884775
MILDRED DECASTRO
BREA, CA
NPI
1376884775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP11295)
Enumeration Date
2013-03-09
Last Update Date
2013-03-09
Business Address
-- MILDRED DECASTRO NP
101 W CENTRAL AVE #249
BREA, CA 92821-7515
Phone number: 714-273-1453
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Mailing Address
-- MILDRED DECASTRO NP
101 W CENTRAL AVE #249
BREA, CA 92821-7515
Phone number: 714-273-1453
Copy
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