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1487025516
FREDERICK CASTRO SANDOVAL
MUSKOGEE, OK
NPI
1487025516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OK L0063313)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
-- FREDERICK CASTRO SANDOVAL L.P.N.
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-687-1039
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Mailing Address
-- FREDERICK CASTRO SANDOVAL L.P.N.
619 N MAIN ST
MUSKOGEE, OK 74401-4431
Phone number: 918-687-1039
Copy
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