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1881946168
CARLOS TOM CASTILLO
PORT HURON, MI
NPI
1881946168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
-- CARLOS TOM CASTILLO
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-966-4459
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Mailing Address
-- CARLOS TOM CASTILLO
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-966-4459
Copy
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