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1932526522
KENNETH CASTILLO
LAS CRUCES, NM
NPI
1932526522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-03-21
Last Update Date
2015-10-16
Business Address
-- KENNETH CASTILLO
678 MESA POINT RD
LAS CRUCES, NM 88011-0982
Phone number: 575-312-9351
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Mailing Address
-- KENNETH CASTILLO
385 CALLE DE ALEGRA STE A
LAS CRUCES, NM 88005-3423
Phone number: 575-526-1105
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