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1871793323
JORGE MANUEL CASTILLO
MODESTO, CA
NPI
1871793323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
Mr. JORGE MANUEL CASTILLO
330 MCHENRY AVE
MODESTO, CA 95354-0561
Phone number: 209-577-3595
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Mailing Address
Mr. JORGE MANUEL CASTILLO
3140 N PARK CT
TURLOCK, CA 95382-1341
Phone number: 209-667-4034
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