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1902374689
JESSE CASTILLO
WINSTON SALEM, NC
NPI
1902374689
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NC 11987)
Enumeration Date
2018-11-11
Last Update Date
2018-11-11
Business Address
JESSE CASTILLO
190 MORAVIAN WAY DR
WINSTON SALEM, NC 27106-3216
Phone number: 366-767-8130
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Mailing Address
JESSE CASTILLO
4650 NC 801 HWY
WOODLEAF, NC 27054-9477
Phone number: 865-466-5669
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