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1821579400
JESUS E CASTILLO
HIALEAH, FL
NPI
1821579400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA20304)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
JESUS E CASTILLO
5725 NW 186TH ST
HIALEAH, FL 33015-6019
Phone number: 786-223-4024
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Mailing Address
JESUS E CASTILLO
1230 NW 188TH ST
MIAMI GARDENS, FL 33169-3412
Phone number: 786-223-4024
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