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1891537890
JACK CASTELLANOS
TAYLORSVILLE, UT
NPI
1891537890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
JACK CASTELLANOS
4162 S DAVENCREST LN
TAYLORSVILLE, UT 84129-5368
Phone number: 801-859-5950
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Mailing Address
JACK CASTELLANOS
4162 S DAVENCREST LN
TAYLORSVILLE, UT 84129-5368
Phone number: 801-859-5950
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