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1861015117
LUIS CASTRO
FORT DEFIANCE, AZ
NPI
1861015117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
227900000X Respiratory Therapist, Registered
(Licence: FL 12201)
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
LUIS CASTRO
CORNER OR ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504-0589
Phone number: 928-729-8835
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Mailing Address
LUIS CASTRO
PO BOX 589
FORT DEFIANCE, AZ 86504-0589
Phone number:
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