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1790990265
BENJAMIN CASTILLO MADRID
LOS ANGELES, CA
NPI
1790990265
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Other Name
BEN MADRID
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 2240)
Enumeration Date
2007-05-10
Last Update Date
2008-12-06
Business Address
-- BENJAMIN CASTILLO MADRID OTRL
1200 N STATE ST
LOS ANGELES, CA 90033-1029
Phone number: 213-226-7437
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Mailing Address
-- BENJAMIN CASTILLO MADRID OTRL
1234 AGATE ST APT D
REDONDO BEACH, CA 90277-2314
Phone number: 310-508-0624
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