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1669015020
IVAN CASTILLEJA
EDINBURG, TX
NPI
1669015020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1316285)
Enumeration Date
2019-10-17
Last Update Date
2019-10-17
Business Address
IVAN CASTILLEJA PT, DPT
4009 S SUGAR RD
EDINBURG, TX 78539-9917
Phone number: 956-287-4475
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Mailing Address
IVAN CASTILLEJA PT, DPT
4009 S SUGAR RD
EDINBURG, TX 78539-9917
Phone number:
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