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1750676268
JERICHO A CASTILLO
BLOOMINGTON, IN
NPI
1750676268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05008341A)
Enumeration Date
2011-06-13
Last Update Date
2011-06-13
Business Address
MR. JERICHO A CASTILLO PT
3741 S WICKENS ST
BLOOMINGTON, IN 47403-4595
Phone number: 812-272-6515
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Mailing Address
MR. JERICHO A CASTILLO PT
3741 S WICKENS ST
BLOOMINGTON, IN 47403-4595
Phone number: 812-272-6515
Copy
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