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1922512946
KENDIE CASTILLO
LAKEWOOD, NJ
NPI
1922512946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00760200)
Enumeration Date
2017-11-29
Last Update Date
2017-11-29
Business Address
KENDIE CASTILLO
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: 732-363-6655
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Mailing Address
KENDIE CASTILLO
109 SEMINOLE CT
HOWELL, NJ 07731-2454
Phone number:
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