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1417481623
CODY CASTLE
LONGVIEW, TX
NPI
1417481623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TX AP134335)
Enumeration Date
2017-04-13
Last Update Date
2020-02-07
Business Address
CODY CASTLE FNP
1103 EDEN DR
LONGVIEW, TX 75605-3114
Phone number: 903-578-0887
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Mailing Address
CODY CASTLE FNP
816 W CANNON ST
FORT WORTH, TX 76104-3146
Phone number: 817-321-0404
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