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1487087763
CARLOS RENE CASTILLO
SPRINGDALE, AR
NPI
1487087763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA 2139)
Enumeration Date
2013-08-09
Last Update Date
2013-08-12
Business Address
Mr. CARLOS RENE CASTILLO PTA
1112 S 48TH ST
SPRINGDALE, AR 72762-5848
Phone number: 479-751-3900
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Mailing Address
Mr. CARLOS RENE CASTILLO PTA
PO BOX 871
TONTITOWN, AR 72770-0871
Phone number: 479-444-6277
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