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1588007249
MARTIN DANIEL CASTILLO
LAKE CHARLES, LA
NPI
1588007249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA AP07248)
Enumeration Date
2013-04-12
Last Update Date
2014-06-09
Business Address
-- MARTIN DANIEL CASTILLO FNP-C
1717 OAK PARK BLVD 3RD FL
LAKE CHARLES, LA 70601-8991
Phone number: 337-475-8100
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Mailing Address
-- MARTIN DANIEL CASTILLO FNP-C
PO BOX 122108 DEPT 2108
DALLAS, TX 75312-2108
Phone number: 337-494-2919
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